Individual
MR. NAGACHANDRA KIRAN DHARMAVARAM HARIRAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 SOUTH DOBSON ROAD, ATTN: BMG HOSPITALIST TEAM/AMANDA GUMP, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Mailing address
1400 SOUTH DOBSON ROAD, ATTN: BMG HOSPITALIST TEAM/AMANDA GUMP, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099995
MI
207R00000X
Internal Medicine Physician
50070
AZ
208M00000X
Hospitalist Physician
Primary
50070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172092
—
AZ
Enumeration date
07/24/2012
Last updated
02/18/2021
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