Healthcare Provider Details
I. General information
NPI: 1578557229
Provider Name (Legal Business Name): INPAMANI S ARUL MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2005
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
38600 MEDICAL CENTER DR
PALMDALE CA
93551-4483
US
IV. Provider business mailing address
5700 SOUTHWYCK BLVD
TOLEDO OH
43614-1509
US
V. Phone/Fax
- Phone: 661-382-5722
- Fax:
- Phone: 800-288-8325
- Fax: 419-866-5453
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
INPAMANI
S
ARUL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 661-948-4781