Individual
DR. AMAR C NAWATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 16TH ST # C2304, SANTA MONICA, CA 90404
(310) 319-4698
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MAO8281700
NJ
207R00000X
Internal Medicine Physician
A96528
CA
208M00000X
Hospitalist Physician
25MAO8281700
NJ
208M00000X
Hospitalist Physician
Primary
A96528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139360
—
NJ
Enumeration date
06/01/2007
Last updated
06/12/2018
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