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Sivaramakris Sridhar
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NPI Number Detailed Information
Provider Information:
Name: | Sivaramakris Sridhar |
Gender: | M |
Provider License Number If Given: | 8688 |
NPI Information:
NPI: | 1750380135 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/19/2005 |
Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
Address: | 1331 N 7TH ST SUITE 400 Phoenix, AZ 85006 |
Phone Number: | 6022776181 |
Fax Number: | 6022536059 |
Provider Business Practice Location Address:
Address: | 1331 N 7TH ST SUITE 400 Phoenix, AZ 85006 |
Phone Number: | 6022776181 |
Fax Number: | 6022536059 |
Provider Taxonomy:
Primary: | 207R00000X |
Secondary (if any): | 207RC0000X |
State: | AZ |