Individual
DR. SATHYA G JYOTHINAGARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
925 E MCDOWELL RD FL 3, PHOENIX, AZ 85006-2502
(602) 839-5895
(602) 839-0589
Mailing address
925 E MCDOWELL RD FL 3, PHOENIX, AZ 85006-2502
(602) 839-5895
(602) 839-0589
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
48182
AZ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
58662
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110240775
RR MEDICARE
NC
01
—
47697
BCBS
NC
05
—
5901374
—
NC
05
—
8947697
—
NC
05
—
N00863
—
SC
Enumeration date
07/09/2006
Last updated
06/25/2014
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