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Individual

DR. ASHWIN THALAGAVARA RAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,MPH

Contact information

Practice address
4722 N 24TH ST STE 150, PHOENIX, AZ 85016-4860
(602) 256-4628
(602) 627-6325
Mailing address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-3611
(770) 535-7092

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41310
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
41310
AZ
2080N0001X
Neonatal-Perinatal Medicine Physician
58578
GA

Other

Enumeration date
12/19/2007
Last updated
04/07/2026
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