Individual
DR. AZHIL DURAIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S FAIR OAKS AVE, SUITE 215, PASADENA, CA 91105-2615
(626) 793-4139
(626) 793-4324
Mailing address
3452 E FOOTHILL BLVD, SUITE 130, PASADENA, CA 91107-3142
(626) 793-2885
(626) 793-6262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A054721
CA
207RI0011X
Interventional Cardiology Physician
Primary
A54721
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A547210
—
CA
01
—
W2223
MEDICARE PTAN
CA
Enumeration date
05/10/2006
Last updated
04/26/2024
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