Individual
ARVIND DURVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 W BASELINE RD, MESA, AZ 85210-6041
(808) 349-0394
(480) 964-7802
Mailing address
612 W BASELINE RD, MESA, AZ 85210-6041
(480) 834-9039
(480) 964-7802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35823
AZ
207RN0300X
Nephrology Physician
Primary
35823
AZ
208M00000X
Hospitalist Physician
35823
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159799
—
AZ
Enumeration date
10/17/2006
Last updated
09/05/2024
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