Dr. Minu Ambika Rajendran, MD
Internal Medicine in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1457912016
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1457912016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Minu Ambika Rajendran
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2019
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A181521 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1111 N China Lake BlvdRidgecrest, CA 93555-3131
Phone 760-499-3855
Mailing address
237 W Cobblestone LnRidgecrest, CA 93555-3195
Phone 562-252-6027
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