Individual
DR. GAYATHRI CHELVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8110 BIRMINGHAM WAY, SAN DIEGO, CA 92123-2758
(858) 966-8493
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
35121829
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
C183059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088732
—
OH
01
—
H242420
CGS - MEDICARE
OH
Enumeration date
04/11/2007
Last updated
11/04/2022
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