Individual
DR. AMITABHA MAZUMDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11480 BROOKSHIRE AVE STE 309, DOWNEY, CA 90241
(562) 869-1201
(562) 869-1281
Mailing address
18000 STUDEBAKER RD STE 800, CERRITOS, CA 90703-2671
(562) 735-3226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
209802
NY
207RH0003X
Hematology & Oncology Physician
Primary
G56488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB293407
PTAN
CA
Enumeration date
10/10/2005
Last updated
08/14/2018
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