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Individual

AMY KATTAPURAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M D

Contact information

Practice address
1030 S GLENDALE AVE, SUITE 405, GLENDALE, CA 91205-5612
(818) 241-4162
(818) 243-3368
Mailing address
150 N ROBERTSON BLVD, SUITE 205, BEVERLY HILLS, CA 90211-2142
(310) 657-8585
(310) 657-8484

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A084506
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A084506
LICENSE NUMBER
CA
Enumeration date
07/06/2006
Last updated
05/15/2009
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