Individual
MADHAVI R PESARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 S 63RD ST, SUITE 6, MESA, AZ 85206-1605
(480) 981-9234
(480) 981-3038
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 981-9234
(480) 981-3038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29667
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6100734
—
AZ
Enumeration date
01/13/2006
Last updated
10/08/2013
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