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General NPI Number Information
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NPI Number | 1922105634
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Entity Type | Individual
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Provider Name | NANDAN VASUDEV KAMATH MD
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 13652 CANTARA ST BLDG 6
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5423
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 28285 N VIA SONATA DR
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City | VALENCIA
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State | CA
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Zip | 91354-3095
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Country | US
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Telephone | 707-880-7932
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A87880
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | A87880
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License Number State | CA
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