Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IMAWATI BUDIHARDJO, M.D., PH.D
Active Sole ProprietorIMAWATI BUDIHARDJO, M.D., PH.D is a Hematology healthcare provider located in LA JOLLA, California. NPI 1043337173 is currently active in the NPPES registry. Verify at CMS.
Hematology · LA JOLLA, CA
Registration Details
- NPI Number
- 1043337173
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2007 (19.389954710408 yrs)
- Last Updated
- Oct 12, 2007
- License
-
A84421 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3855 HEALTH SCIENCES DR # 0658LA JOLLA, CA, 920930987Browse CA providers · Browse ZIP 92093
- Phone
- 8588226100
- Fax
- 8588226186
- Primary Specialty
-
Hematology
207RH0003X
Other Hematology Providers in LA JOLLA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOAN F. KROENER | M.D. | 1720067150 |
| ROBERT BROUILLARD | — | 1487626420 |
| DR. RAFAEL BEJAR | M.D., PH.D. | 1720051493 |
| DR. JEFFREY W. ANDREY | M.D. | 1700851482 |
| DR. TERESA LYNN HELSTEN | M.D. | 1265408678 |
| JAMES M SINCLAIR | M.D. | 1356300230 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.