Individual
SUDARSAN KOLLIMUTTATHUILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16300 SAND CANYON AVE STE 207, IRVINE, CA 92618-3712
(949) 333-7580
(949) 333-7599
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A169385
CA
Other
Enumeration date
09/04/2017
Last updated
05/30/2024
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