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Individual
DR. VASANTH KIRAN COORG
Active
Individual
DR. VASANTH KIRAN COORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
45843
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
45843
AZ
Other
Enumeration date
09/30/2009
Last updated
02/18/2025
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