Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A127650 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A127650 | CA |
NPI | 1619138872 |
---|---|
Provider Name | Kruti Ameesh Pandya |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 24/10/2020 |