Individual
AMUDHA PANNEERSELVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7060 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111-1003
(619) 528-5000
Mailing address
7060 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111-1003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A138417
CA
Other
Enumeration date
03/27/2014
Last updated
05/01/2024
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