Organization
JAYA HARI MADDUR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYA MADDUR MD (OWNER / PRESIDENT)
(520) 459-3850
Entity
Organization
Contact information
Practice address
111 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2807
(520) 459-3850
(520) 459-3857
Mailing address
111 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2807
(520) 459-3850
(520) 459-3857
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14396
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232017
—
AZ
Enumeration date
03/14/2008
Last updated
05/02/2013
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