Provider Demographics
NPI:1306581996
Name:ADIYERI KANDIYIL, NAMRATHA
Entity type:Individual
Prefix:
First Name:NAMRATHA
Middle Name:
Last Name:ADIYERI KANDIYIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PATHOLOGY AND LABORATORY MEDICINE
Mailing Address - Street 2:UCI SCHOOL OF MEDICINE
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92697-4800
Mailing Address - Country:US
Mailing Address - Phone:714-456-6411
Mailing Address - Fax:714-456-5149
Practice Address - Street 1:101 THE CITY DR S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3201
Practice Address - Country:US
Practice Address - Phone:714-456-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA197958207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology