Individual
DR. KIRAN NIMMAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
8700 BEVERLY BLVD RM 4209, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1682
Mailing address
3335 DORCHESTER AVE, LOS ANGELES, CA 90032-2907
(661) 713-0265
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A181272
CA
207L00000X
Anesthesiology Physician
PENDING
CA
Other
Enumeration date
07/02/2019
Last updated
10/06/2023
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