Individual
DR. SHABARI SANAT SEETHARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3840 N 16TH ST, PHOENIX, AZ 85016-5917
(602) 232-6066
Mailing address
3840 N 16TH ST, PHOENIX, AZ 85016-5917
(602) 232-6066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57-013833
OH
207W00000X
Ophthalmology Physician
036128066
IL
207W00000X
Ophthalmology Physician
Primary
46338
AZ
207W00000X
Ophthalmology Physician
52392
WI
207WX0107X
Retina Specialist (Ophthalmology) Physician
46338
AZ
Other
Enumeration date
11/05/2007
Last updated
10/09/2023
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