person
Agustinus Suhardja, MD
Diagnostic Radiology Physician in Glendora, California
NPI 1235349473

Agustinus Suhardja is a Diagnostic Radiology Physician based in Orange, CA and is specialized in Diagnostic Radiology. Agustinus Suhardja practices in Glendora, CA and has the professional credentials of MD. The NPI Number for Agustinus Suhardja is 1235349473 and holds a License No. 04-34805 (California).

The current practice location address for Agustinus Suhardja is 828 S Grand Ave Ste 104, Glendora, CA and can be reached out via phone at 626-963-2057 and via fax at 626-963-4298.

Location: 828 S Grand Ave Ste 104, Glendora, CA, 92863-6869
person
Provider Profile Details
NPI Number
1235349473
Provider Name
Agustinus Suhardja
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
828 S Grand Ave Ste 104, Glendora, CA, 92863-6869
Phone Number
626-963-2057
Fax Number
626-963-4298
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
828 S Grand Ave Ste 104
City
State
Zip
91740-4856
Phone Number
626-963-2057
Fax Number
626-963-4298
person
Provider Business Mailing Address Details
Address
828 S Grand Ave Ste 104
City
State
Zip
91740-4856
Phone Number
626-963-2057
Fax Number
626-963-4298
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
04-34805 (Kansas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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