Individual
SAI DURISETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
660 SOUTH EUCLID AVENUE, DEPARTMENT OF RADIATION ONCOLOGY, BOX 8224, SAINT LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A174391
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
08/24/2021
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