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Individual

DR. SHYAM SASIDHARAN KOLANGARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 LA VENTA DR STE 207, WESTLAKE VILLAGE, CA 91361-3766
(805) 494-6920
(805) 494-6922
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A184725
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A184725
CA

Other

Enumeration date
07/08/2015
Last updated
10/02/2025
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