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Individual

SANDHYA RAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9059 W LAKE PLEASANT PKWY, STE E 540, PEORIA, AZ 85382-8336
(623) 322-3380
(623) 322-4399
Mailing address
9059 W LAKE PLEASANT PKWY, STE E 540, PEORIA, AZ 85382-8336
(623) 322-3380
(623) 322-4399

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34320
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34320
LICENSE
AZ
Enumeration date
09/22/2005
Last updated
03/07/2023
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