Individual
ARUNA DIVAKARAN PODUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2204 S DOBSON RD STE 103, MESA, AZ 85202
(480) 757-6457
(480) 378-7090
Mailing address
2204 S DOBSON RD STE 103, MESA, AZ 85202-6457
(480) 757-6457
(480) 378-7090
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
49420
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961725
—
AZ
Enumeration date
09/19/2008
Last updated
06/01/2018
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