Individual
PADMA NANDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.S.
Contact information
Practice address
5330 CARROLL CANYON RD, SUITE 210, SAN DIEGO, CA 92121-3756
(858) 450-1010
(858) 450-9451
Mailing address
5330 CARROLL CANYON RD, SUITE 210, SAN DIEGO, CA 92121-3756
(858) 450-1010
(858) 450-9451
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A73131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A731310
—
CA
Enumeration date
09/23/2005
Last updated
12/21/2016
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