# WEST VALLEY ENDOCRINOLOGY LLC

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

## Provider details

- **NPI number:** 1770659120
- **Authorized official:** JAYANTHI SUPPIAH MD (MD)
- **Authorized official phone:** (623) 825-4845

## Contact information

- **Practice address:** 9150 W INDIAN SCHOOL RD, SUITE 118, PHOENIX, AZ 85037-2384
- **Practice address phone:** (623) 825-4845
- **Mailing address:** 9650 W BAJADA RD, PEORIA, AZ 85383-2904
- **Mailing address phone:** (623) 825-4845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020