Individual
AMEYA JATEGAONKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2910 N 3RD AVE # 330, PHOENIX, AZ 85013-4434
(602) 406-8811
(602) 406-8810
Mailing address
2910 N 3RD AVE # 330, PHOENIX, AZ 85013-4434
(602) 406-8811
(602) 406-8810
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
67177
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
12/07/2023
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