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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

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