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NPI Code Detail

MEDICARE: DR. VIKRAM S KOTHANDARAMAN M.D

MEDICARE:  DR. VIKRAM S KOTHANDARAMAN  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA91809CA

General Provider Information

NPI Number : 1720129141
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIKRAM S KOTHANDARAMAN M.D
Provider Business Mailing Address
First Line : 725 S BIXEL ST
Second Line : APT# 503B
City : LOS ANGELES
State : CA
Zip : 90017-2438
Country : US
Telephone Number : 310-561-1399
Fax Number : 310-561-1399
Provider Business Practice Location Address
First Line : 2151 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3121
Country : US
Telephone Number : 213-483-2222
Fax Number : 213-483-6161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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Directions to “ DR. VIKRAM S KOTHANDARAMAN M.D” Practice Location

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