Individual
RAMACHANDRA R. SISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 E MAYO BLVD, PX-SP-01-TRANID, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
50249
AZ
207RP1001X
Pulmonary Disease Physician
C51239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C512390
—
CA
Enumeration date
02/24/2007
Last updated
06/09/2015
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