Individual
ABHISHEK TIPPABHATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST OFC UA-202, LOMA LINDA, CA 92350-1716
(909) 558-4015
Mailing address
11234 ANDERSON ST OFC UA-202, LOMA LINDA, CA 92350-1716
(909) 558-4015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MTL500002475
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
06/11/2025
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