Individual
NARENDRA PRASAD MYNENI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1450 S DOBSON RD, SUITE A307, MESA, AZ 85202-4712
(480) 461-1334
Mailing address
3530 E GRANDVIEW ST, MESA, AZ 85213-3228
(602) 625-4178
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
12555
AZ
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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