Organization
SHYAMALA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAMALA KUMAR M.D. (PRESIDENT)
(602) 999-6342
Entity
Organization
Contact information
Practice address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Mailing address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
28250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569353-03
—
AZ
01
—
Z74891
MDCR GROUP BOX 33B
AZ
Enumeration date
12/17/2007
Last updated
07/18/2024
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