Individual
AKHILA PAMULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(951) 212-2149
Mailing address
25156 BILLIE DR, MORENO VALLEY, CA 92553-7122
(951) 212-2149
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A131863
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
05/12/2023
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