Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A35950 | CA |
NPI | 1710939715 |
---|---|
Provider Name | Krithika Ramadas |
First Address | Thousand Oaks, CA 91360-8037 |
Second Address | Thousand Oaks, CA 91360-8037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 28/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A27951 | (02) | CA |