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Individual

DR. KRANTHI ANDHAVARAPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3115 S PRICE RD, CHANDLER, AZ 85248-3544
(888) 488-7640
Mailing address
3115 S PRICE RD, CHANDLER, AZ 85248-3544
(888) 488-7640

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46559
AZ
207R00000X
Internal Medicine Physician
R71767
AZ
208M00000X
Hospitalist Physician
Primary
46559
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R71767
TRAINING PERMIT
AZ
Enumeration date
01/18/2011
Last updated
02/03/2017
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