Individual
MAHATHI DORAISWAMY KOSURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 N BEDFORD DR STE 203, BEVERLY HILLS, CA 90210-4317
(516) 526-1871
Mailing address
416 N BEDFORD DR, BEVERLY HILLS, CA 90210-4322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94028765
CA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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