Individual
DHARITRI MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 WESTWOOD PLZ, ROOM C8-225, LOS ANGELES, CA 90024-5055
(310) 825-0018
Mailing address
760 WESTWOOD PLZ, ROOM C8-225, LOS ANGELES, CA 90024-5055
(310) 825-0018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD430610
PA
2084P0805X
Geriatric Psychiatry Physician
Primary
A93588
CA
Other
Enumeration date
03/23/2008
Last updated
03/23/2008
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