Individual
KALYAN C MANTRIPRAGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3686 S ROME ST, GILBERT, AZ 85297-4923
(480) 890-7705
(480) 398-8095
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
55247
AZ
Other
Enumeration date
05/04/2008
Last updated
11/18/2022
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