Individual
SRIHARSHA VAJJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8330 E HARTFORD DR, STE 100, SCOTTSDALE, AZ 85255
(480) 745-3547
(480) 745-3548
Mailing address
8330 E HARTFORD DR, STE 100, SCOTTSDALE, AZ 85255-7205
(480) 745-3547
(480) 745-3548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52075
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
52075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149601
—
AZ
Enumeration date
07/17/2012
Last updated
04/25/2022
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