Individual
MR. KALYANASUNDARA VENKATARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 359-8111
Mailing address
PO BOX 5063, MONROVIA, CA 91017-7163
(626) 775-3200
(626) 775-3271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A26371
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A26371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A263710
—
CA
Enumeration date
10/04/2006
Last updated
04/17/2013
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