MEDICARE: NAGA RAMYA CHOWDARY M.D.

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	208000000X	Pediatrics Physician	A156327	CA

General Provider Information

NPI Number	:	1780066480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAGA RAMYA CHOWDARY M.D.

Provider Business Mailing Address
First Line	:	122A E FOOTHILL BLVD # 360
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-2505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 HUNTINGTON DR STE B
Second Line	:
City	:	DUARTE
State	:	CA
Zip	:	91010-2536
Country	:	US
Telephone Number	:	951-684-8020
Fax Number	:	951-684-8090

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

Provider Enumeration Date	:	06/18/2015
Last Update Date	:	11/12/2020

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