Provider Demographics
NPI:1467625491
Name:HATTANGADI-GLUTH, JONA ASHOK (MD)
Entity Type:Individual
Prefix:DR
First Name:JONA
Middle Name:ASHOK
Last Name:HATTANGADI-GLUTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JONA
Other - Middle Name:ASHOK
Other - Last Name:HATTANGADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3855 HEALTH SCIENCES DRIVE, MC 0843
Mailing Address - Street 2:UC SAN DIEGO HEALTH SYSTEM, DEPT OF RADIATION ONCOLOGY
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3855 HEALTH SCIENCES DRIVE, MC 0843
Practice Address - Street 2:UC SAN DIEGO HEALTH SYSTEM, DEPT OF RADIATION ONCOLOGY
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0843
Practice Address - Country:US
Practice Address - Phone:858-822-6040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1223082085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology