Individual
KAMLESH TANEJA DHAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3420 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 887-1950
(323) 887-4932
Mailing address
3420 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 887-1950
(323) 887-4932
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A38701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A387010
MEDICAL PPIN #
CA
Enumeration date
07/11/2006
Last updated
07/09/2007
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