Vinita Kusupati, MD
Internal Medicine in West Hollywood, CA. Individual provider (NPI-1).
NPI number1336760313
StatusActive
Last updated in NPPESJul 6, 2024
Details
- NPI
- 1336760313
- Entity type
- Individual (NPI-1)
- Name
- Vinita Kusupati
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2020
- Certification date
- Jul 6, 2024
- Last updated
- Jul 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A195500 | CA | Yes |
| 207R00000X | Internal Medicine | R78044 | AZ |
Practice location
8700 Beverly Blvd Rm 6735West Hollywood, CA 90048-1804
Phone 310-423-1838 · Fax 310-423-0129
Mailing address
8700 Beverly Blvd Rm 6735West Hollywood, CA 90048-1804
Phone 310-423-1838 · Fax 310-423-0129
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