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Individual

DR. UDAYA DESILVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
623 W AVENUE Q, SUITE A, PALMDALE, CA 93551-3890
(661) 726-6255
(661) 726-6261
Mailing address
PO BOX 4037, LANCASTER, CA 93539-4037
(661) 726-6255
(661) 726-6261

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A48836
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A488360
CA
Enumeration date
07/21/2006
Last updated
05/14/2021
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