Individual
SUJATHA DODDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(520) 296-3211
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071111A
IN
208M00000X
Hospitalist Physician
Primary
53848
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201114470
—
IN
Enumeration date
05/16/2012
Last updated
03/11/2026
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