Individual provider · Type 1 NPI

Jenanan Prakasha Vairavamurthy, MD

Vascular & Interventional Radiology Physician · Los Angeles, CA

NPI number 1881919942 Active

Practice location

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204XA136222 (CA)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1881919942

Jenanan Prakasha Vairavamurthy, MD's National Provider Identifier is 1881919942, issued on Apr 1, 2010. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 27, 2023.