# SUN VALLEY PHYSICAL MEDICINE AND REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457372575
- **Authorized official:** SUBRAMANIAM PARAMESHWARAN MD (PRESIDENT / OWNER)
- **Authorized official phone:** (520) 421-7078

## Contact information

- **Practice address:** 1800 E FLORENCE BLVD, CASA GRANDE, AZ 85222-5303
- **Practice address phone:** (520) 426-9006
- **Practice address fax:** (520) 836-4429
- **Mailing address:** PO BOX 12185, CASA GRANDE, AZ 85230-2185
- **Mailing address phone:** (520) 426-9006
- **Mailing address fax:** (520) 836-4429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 10/19/2007