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Individual

DR. IDOROENYI AMANAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 E DUARTE ROAD, DUARTE, CA 91010-3012
(626) 256-4673
(626) 408-3911
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A131624
CA

Other

Enumeration date
12/23/2013
Last updated
11/27/2023
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