Dr. Neelam Pathikonda, DOMPH
Dr. Neelam Pathikonda, DOMPH is a Family Practice in Los Angeles, California. Qualified in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 14
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
Los Angeles, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 20A13100 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1346505294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DOMPH |
| Sole proprietor | No |
| NPI enumerated | July 6, 2012 |
| Last updated in NPPES | November 29, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
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