Individual
DR. AJITA DEODHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-8541
(323) 442-8755
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8541
(323) 442-8755
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MT194299
PA
2085R0204X
Vascular & Interventional Radiology Physician
160765
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A116266
CA
Other
Enumeration date
07/22/2010
Last updated
07/02/2014
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