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Individual

DR. REVA KAKKAR BASHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 967-2700
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(713) 745-6940

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
A119414
CA
207RH0003X
Hematology & Oncology Physician
BP10045963
TX
207RX0202X
Medical Oncology Physician
Primary
A119414
CA

Other

Enumeration date
08/18/2011
Last updated
02/13/2024
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