Organization
NARENDRA P MYNENI MD PC
Active
Organization
NARENDRA P MYNENI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARENDRA P MYNENI MD (OWNER/PRESIDENT)
(480) 985-1093
Entity
Organization
Contact information
Practice address
1450 S DOBSON RD, SUITE A302, MESA, AZ 85202-4712
(480) 985-1093
Mailing address
PO BOX 6970, MESA, AZ 85216-6970
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0032580
BCBS
AZ
Enumeration date
10/09/2006
Last updated
10/10/2007
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