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Organization

ALLIED INTERNAL MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DHEERAJ BOBBA MD (MD, OWNER)
(602) 694-0548
Entity
Organization

Contact information

Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(602) 694-0548
Mailing address
PO BOX 39334, PHOENIX, AZ 85069-9334
(602) 694-0548

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
37192
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588878508
AZ
Enumeration date
06/15/2015
Last updated
07/21/2022
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