Individual
PUNNAIAH MARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9515 W CAMELBACK RD, STE 114, PHOENIX, AZ 85037
(623) 777-1720
(623) 777-1799
Mailing address
9515 W CAMELBACK RD STE 114, PHOENIX, AZ 85037-1365
(623) 777-1720
(623) 777-1799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37090
AZ
208M00000X
Hospitalist Physician
37090
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234175
—
AZ
Enumeration date
07/25/2006
Last updated
07/17/2018
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