Gangadhar, Kiran

Gangadhar, Kiran is an individual health care provider with primary practice located at 2428 Santa Monica Blvd , Santa Monica CA 90404-2045. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gangadhar, Kiran can be contacted via phone (310) 315-1000.

Contact Information

Primary practice address
2428 Santa Monica Blvd Santa Monica CA 90404-2045
Phone: (310) 315-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X MD60751368 Washington
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD60751368 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60751368 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A179353 California

Profile Details

NPI number 1679906580
LBN Legal business name Gangadhar, Kiran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2013
Last updated Nov 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679906580 NPPES
Washington MEDICAID 2036468
Washington Other 0390732
Washington Other 0390731
Washington Other 0390729
Washington Other 0390730
Washington MEDICAID 1679906580

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