Provider Demographics
NPI:1487663837
Name:RAMBHATLA, SAVITRI K (MD)
Entity Type:Individual
Prefix:
First Name:SAVITRI
Middle Name:K
Last Name:RAMBHATLA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:101 E BEVERLY BLVD
Mailing Address - Street 2:STE 407
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4300
Mailing Address - Country:US
Mailing Address - Phone:323-726-6200
Mailing Address - Fax:323-727-2714
Practice Address - Street 1:101 E BEVERLY BLVD
Practice Address - Street 2:STE 407
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4300
Practice Address - Country:US
Practice Address - Phone:323-726-6200
Practice Address - Fax:323-727-2714
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2015-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA3624502080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2115916OtherMEDICAL PIN