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Individual

KARTHIK KAILASAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 SOUTH DOBSON ROAD, ATTN: BMG HOSPITALIST TEAM / AMANDA GUMP, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Mailing address
1400 SOUTH DOBSON ROAD, ATTN: BMG HOSPITALIST TEAM / AMANDA GUMP, MESA, AZ 85202
(480) 412-6788
(480) 412-6848

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.133669
OH
207R00000X
Internal Medicine Physician
4301107282
MI
208M00000X
Hospitalist Physician
Primary
62158
AZ

Other

Enumeration date
07/06/2015
Last updated
09/02/2021
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