Individual
DR. SANTHOSH MUKUND NADIPURAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD STE 4221, WEST HOLLYWOOD, CA 90048
(310) 423-4471
Mailing address
8700 BEVERLY BLVD STE 4221, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4471
(310) 434-8284
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A112411
CA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A112411
CA
Other
Enumeration date
06/18/2010
Last updated
04/19/2019
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