Individual
NITIN UBHAYAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 S FAIR OAKS AVE, PASADENA, CA 91105-2603
(626) 304-4400
Mailing address
401 S FAIR OAKS AVE, PASADENA, CA 91105-2603
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
A135630
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
08/02/2016
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