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Individual

VENKATA EVANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4250 E CAMELBACK RD, SUITE K200, PHOENIX, AZ 85018-8388
(602) 977-0136
(602) 977-0758
Mailing address
4250 E CAMELBACK RD, SUITE K200, PHOENIX, AZ 85018-8388
(602) 977-0136
(602) 977-0758

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20688
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103317
AZ
Enumeration date
03/21/2006
Last updated
03/08/2010
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