Most Relevant Information
Provider Data
| NPI Number: | 1003341702 |
| Provider Name: | NEELAYSH VUKKADALA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/01/2017 |
| Last Updated: | 09/15/2023 |
Provider Practice Location
8635 W 3RD ST STE 590W
LOS ANGELES
CA
900486163
Practice Location Phone/Fax
| Phone: | 3104231220 |
| Fax: |
Provider Mailing Location
4140 W 190TH ST
TORRANCE
CA
905045513
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |