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Individual

PRABHAKAR SWAROOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5111 N SCOTTSDALE RD STE 151, SCOTTSDALE, AZ 85250-7004
(602) 254-6686
(602) 254-4258
Mailing address
5111 N SCOTTSDALE RD STE 151, SCOTTSDALE, AZ 85250-7004
(602) 254-6686
(602) 254-4258

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
55206
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
479779
AZ
01
Z231883
PTAN
AZ
Enumeration date
08/04/2006
Last updated
02/08/2024
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