Individual
ASHKA ATODARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-5590
(602) 406-7170
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
007723
AZ
208000000X
Pediatrics Physician
007723
AZ
208M00000X
Hospitalist Physician
Primary
007723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439888
—
AZ
Enumeration date
07/16/2014
Last updated
12/05/2024
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