Individual
DR. ROY AJIT NAMBUDRIPAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6714 BEACH BLVD, BUENA PARK, CA 90621-3410
(714) 523-8900
Mailing address
6714 BEACH BLVD, BUENA PARK, CA 90621-3410
(714) 523-8900
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A101715
CA
208D00000X
General Practice Physician
Primary
A101715
CA
Other
Enumeration date
10/19/2007
Last updated
08/31/2010
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