Individual provider · Type 1 NPI

Imawati Budihardjo, MD, PhD

Hematology & Oncology Physician · La Jolla, CA

NPI number 1043337173 Active

Practice location

3855 Health Sciences Dr # 0658
La Jolla, CA 92093-0987

Call (858) 822-6100 Map

Fax (858) 822-6186

Mailing address

3855 Health Sciences Drive, Room 2016
La Jolla, CA 92093-0698

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	A84421 (CA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1043337173

Imawati Budihardjo, MD, PhD's National Provider Identifier is 1043337173, issued on Mar 23, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in La Jolla, CA. The record was last updated on Oct 12, 2007.