Individual
MR. ANJANEYULU KOSARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1298 W FINNIE FLAT RD, CAMP VERDE, AZ 86322-5958
(928) 639-5555
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73325
AZ
Other
Enumeration date
07/21/2021
Last updated
09/17/2024
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