Individual
DR. AMARISH D PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4515
(310) 763-8909
Mailing address
10021 TABOR ST, LOS ANGELES, CA 90034-4973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A84246
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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