Organization
DESERT SKY ENDOCRINOLOGY ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDHYA KANNAN MD (OWNER)
(480) 246-2693
Entity
Organization
Contact information
Practice address
7115 E BASELINE RD, SUITE 110, MESA, AZ 85209-4039
(480) 246-2693
(480) 832-3005
Mailing address
7115 E BASELINE RD, SUITE 110, MESA, AZ 85209-4039
(480) 246-2693
(480) 832-3005
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
46525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731236
—
AZ
Enumeration date
07/20/2016
Last updated
10/03/2016
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