Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A120939 | CA |
N | 207VE0102X | Reproductive Endocrinologist | Q5451 | TX |
NPI | 1194927285 |
---|---|
Provider Name | Ms. Anupama S.q. Kathiresan |
First Address | Los Angeles, CA 90067-6657 |
Second Address | Los Angeles, CA 90067-6657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 17/11/2021 |