IndividualActive
Ajita Deodhar, M.D
NPI 1740593458 · Vascular & Interventional Radiology Physician · Los Angeles, CA
Provider details
- NPI number
- 1740593458
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- License
- MT194299 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone: (323) 442-8541
Fax: (323) 442-8755
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31309
Los Angeles, CA 90031-0309
Registry dates
- Enumerated
- 2010-07-22
- Last updated
- 2014-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.