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NPI Code Detail

MEDICARE: ANIL KUMAR VENKATA SUBRAYA G KAMARAJU MD, PHD

MEDICARE:   ANIL KUMAR VENKATA SUBRAYA G KAMARAJU  MD, PHD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063342608
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANIL KUMAR VENKATA SUBRAYA G KAMARAJU MD, PHD
Provider Business Mailing Address
First Line : 3255 WILSHIRE BLVD STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1404
Country : US
Telephone Number : 404-961-0384
Fax Number :
Provider Business Practice Location Address
First Line : 3255 WILSHIRE BLVD STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1404
Country : US
Telephone Number : 404-961-0384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 06/04/2026

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Directions to “ ANIL KUMAR VENKATA SUBRAYA G KAMARAJU MD, PHD” Practice Location

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