Individual
DR. AJANTA DE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 EL CAMINO REAL STE 200, BURLINGAME, CA 94010-3102
(650) 697-2431
(650) 697-3659
Mailing address
1850 EL CAMINO REAL STE 200, BURLINGAME, CA 94010-3102
(650) 697-2431
(650) 697-3659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C55862
CA
207RC0000X
Cardiovascular Disease Physician
C55862
CA
207RI0011X
Interventional Cardiology Physician
Primary
C55862
CA
Other
Enumeration date
05/10/2006
Last updated
03/07/2023
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