Individual
HARISH NANDIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7525 E BROADWAY RD STE 9, MESA, AZ 85208-1156
(480) 981-2700
Mailing address
7525 E BROADWAY RD STE 9, MESA, AZ 85208-1156
(480) 981-2700
(480) 981-8399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46249
AZ
207R00000X
Internal Medicine Physician
Primary
46249
AZ
208M00000X
Hospitalist Physician
46249
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750901
—
AZ
Enumeration date
07/16/2009
Last updated
03/17/2026
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