Individual
DR. KISHORE TIPIRNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19636 N 27TH AVE STE 401, PHOENIX, AZ 85027-4021
(602) 298-8888
(602) 978-4129
Mailing address
7301 E 2ND ST STE 310, SCOTTSDALE, AZ 85251-5627
(877) 821-4657
(866) 207-6786
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24200
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
24200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362872
—
AZ
01
—
3Z3942
HEALTHNET
AZ
Enumeration date
02/21/2006
Last updated
02/20/2025
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