Ganesh L Devendra MD

NPI 1083681134 - Specialist - 174400000X

NPI Details
NPI 1083681134
Gender Male
Enumeration Date 03/07/2006
Last Updated 12/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2925 SYCAMORE DR
SUITE 103
SIMI VALLEY CA, 93065-1208, US
Phone (805) 583-0944
Fax (805) 526-0417
Business Location
22347 N SUMMIT RIDGE CIR
CHATSWORTH CA, 91311-2690, US
Phone (818) 993-8232
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A44521
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According to our database, Dr. Ganesh L Devendra MD NPI is 1083681134, taxonomy code is 174400000X and license number is A44521, license state is located at California. Ganesh L Devendra MD physically located at 2925 Sycamore Dr, Simi Valley CA, 93065-1208. NPI Number Ganesh L Devendra MD has the Individual type.

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1083681134 NPI number is provided on an as is basis without warranty of any kind. 1083681134 is maintained by the National Plan & Provider Enumeration System. The contents of Ganesh L Devendra MD are for informational purposes only.