Organization
K KAY DURAIRAJ MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAY DURAIRAJ MD (PHYSICIAN)
62633167033
Entity
Organization
Contact information
Practice address
800 S. FAIRMOUNT AVE, PASADENA, CA 91105-3152
(626) 316-7033
(626) 539-2529
Mailing address
800 S. FAIRMOUNT AVE, SUITE 210, PASADENA, CA 91105-3152
(626) 316-7033
(626) 539-2529
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A56015
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A560150
—
CA
Enumeration date
06/03/2010
Last updated
10/10/2012
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