Individual
DR. AMUDHA PORCHEZHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
Mailing address
800 S VICTORIA AVE # L4640, VENTURA, CA 93009-0003
(805) 652-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036170229
IL
207Q00000X
Family Medicine Physician
Primary
A192281
CA
Other
Enumeration date
07/14/2021
Last updated
10/28/2025
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