Individual
DR. THIMMAVAJJHALA SREECHARANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13260 N 94TH DR, SUITE 101, PEORIA, AZ 85381-4828
(623) 933-2732
(623) 972-1323
Mailing address
PO BOX 5336, PEORIA, AZ 85385-5336
(623) 933-2732
(623) 972-1323
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
19302
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171182
—
AZ
Enumeration date
02/28/2006
Last updated
10/15/2007
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