Individual
DR. AJITHKUMAR A PUTHILLATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2626 N CALIFORNIA ST, SUITE B, STOCKTON, CA 95204-5500
(209) 466-2626
(206) 466-2199
Mailing address
2626 N CALIFORNIA ST, SUITE B, STOCKTON, CA 95204-5500
(209) 466-2626
(209) 466-2199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A107213
CA
Other
Enumeration date
01/13/2009
Last updated
07/31/2014
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