Organization
PLEASANT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDHYA RAVI MD (OWNER)
(623) 322-3380
Entity
Organization
Contact information
Practice address
2613 W CAMPBELL AVE, PHOENIX, AZ 85017-3770
(623) 322-3380
(623) 322-4399
Mailing address
9059 W LAKE PLEASANT PKWY, E540, 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
05
—
645732
—
AZ
Enumeration date
03/08/2016
Last updated
03/18/2016
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