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NPI Code Detail

MEDICARE: RABINDRA RAMANATH KAMATH DDS

MEDICARE: RABINDRA RAMANATH KAMATH DDS
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
11223G0001XGeneral Practice Dentistry28728CA

General Provider Information

NPI Number : 1568674083
Entity Type Code : Individual
Provider Name (Legal Business Name) : RABINDRA RAMANATH KAMATH DDS
Provider Business Mailing Address
First Line : 8880 SOUTH BROADWAY
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-3635
Country : US
Telephone Number : 323-758-6768
Fax Number :
Provider Business Practice Location Address
First Line : 8880 SOUTH BROADWAY
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-3635
Country : US
Telephone Number : 323-758-6768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ RABINDRA RAMANATH KAMATH DDS” Practice Location

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