Organization
DAMODARA RAJASEKHAR, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMODARA RAJASEKHAR M.D. (PRESIDENT)
(760) 242-3004
Entity
Organization
Contact information
Practice address
18182 OUTER HIGHWAY 18 STE 103, APPLE VALLEY, CA 92307-2200
(760) 242-3004
(760) 242-3009
Mailing address
18182 OUTER HIGHWAY 18 STE 103, APPLE VALLEY, CA 92307-2200
(760) 242-3004
(760) 242-3009
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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