Organization
VAIJAYANTI S KOLDHEKAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAIJAYANTI KOLDHEKAR MD (PHYSICIAN)
(626) 303-2541
Entity
Organization
Contact information
Practice address
1212 KELLWILL WAY, DUARTE, CA 91010-3322
(626) 599-5222
(626) 599-5274
Mailing address
1212 KELLWILL WAY, DUARTE, CA 91010-3322
(626) 599-5222
(626) 599-5274
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3518
CA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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