Basic Information
Provider Information
NPI: 1720372436
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MULTANI
FirstName: ASHRIT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.B.B.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5767 W CENTURY BLVD STE 400
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900455631
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 200 UCLA MEDICAL PLAZA, SUITE 365-C
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900955216
CountryCode: US
TelephoneNumber: 3102067663
FaxNumber: 3102672571
Other Information
ProviderEnumerationDate: 05/31/2011
LastUpdateDate: 08/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA136714CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200XA136714CAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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