Individual
DR. SUKUMAR NAGENDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1434 W PORT AU PRINCE LN, PHOENIX, AZ 85023-5108
(602) 795-5820
(602) 942-7628
Mailing address
1434 W PORT AU PRINCE LN, PHOENIX, AZ 85023-5108
(602) 795-5820
(602) 942-7628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25068
AZ
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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