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Individual

DR. AMSAVANI KANDASWAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
300 S HIGHLAND SPRINGS AVE, BANNING, CA 92220-6504
(951) 769-5378
Mailing address
1264 BUTTERCUP CT, MENTONE, CA 92359-9531
(209) 819-9254

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A 107128
CA

Other

Enumeration date
05/06/2009
Last updated
09/17/2009
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