Most Relevant Information
Provider Data
| NPI Number: | 1003640723 |
| Provider Name: | KUSHAGRA TEWARI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2024 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
885 TIVERTON DRIVE
LOS ANGELES
CA
900950001
Practice Location Phone/Fax
| Phone: | 3108256373 |
| Fax: |
Provider Mailing Location
885 TIVERTON DRIVE
LOS ANGELES
CA
900950001
Provider Mailing Phone/Fax
| Phone: | 3108256373 |
| Fax: |