Individual
DR. AVYAKTA KALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.B.S
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
28079
NE
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A133163
CA
Other
Enumeration date
08/05/2011
Last updated
12/09/2022
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