Individual
SRIDIVYA I RAMINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 W CHANDLER BLVD, CHANDLER, AZ 85224
(480) 821-7565
(480) 821-4303
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085
(623) 277-1000
(866) 837-6575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094375
MI
Other
Enumeration date
07/07/2009
Last updated
04/02/2020
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