Individual
VIMALA SRAVANTHI VAJJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8330 E HARTFORD DR, SCOTTSDALE, AZ 85255-7205
(480) 745-3547
Mailing address
8330 E HARTFORD DR STE 100, SCOTTSDALE, AZ 85255-7205
(480) 745-3547
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
52144
AZ
2084N0600X
Clinical Neurophysiology Physician
52144
AZ
Other
Enumeration date
02/16/2016
Last updated
06/27/2022
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