MEDICARE: DR. SATHYABAMA NATARAJAN MD

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
1	207ZP0101X	Anatomic Pathology Physician	A53834	CA

General Provider Information

NPI Number	:	1730111048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SATHYABAMA NATARAJAN MD

Provider Business Mailing Address
First Line	:	117 S CLARK DR APT 102
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-3255
Country	:	US
Telephone Number	:	310-794-8285
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 N EDGEMONT ST
Second Line	:	PATHOLOGY DIVISION
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5260
Country	:	US
Telephone Number	:	323-783-5921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/16/2021

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