Individual
DR. SUSHMITHA PATIBANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20414 N 27TH AVE, SUITE 300, PHOENIX, AZ 85027-3250
(623) 879-6000
(623) 516-2000
Mailing address
3225 N CIVIC CENTER PLZ, STE 1, SCOTTSDALE, AZ 85251-6919
(623) 879-6000
(623) 516-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
42999
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526897
—
AZ
Enumeration date
02/03/2010
Last updated
04/25/2017
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