Individual
DR. MAYA B BIDICHANDANI-KAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24865 DEL PRADO, DANA POINT, CA 92629
(949) 248-5884
(949) 248-5886
Mailing address
24865 DEL PRADO, DANA POINT, CA 92629
(949) 248-5884
(949) 248-5886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C41651
CA
207RN0300X
Nephrology Physician
Primary
C41651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C41651
LICENSE
CA
01
—
W13226J
MEDICARE GROUP NUMBER
CA
01
—
ZZZ47948Z
BLUE SHIELD
CA
Enumeration date
09/20/2006
Last updated
12/14/2011
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