Individual
SAMYUKTHA SREENIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13657 W MCDOWELL RD, SUITE 118, GOODYEAR, AZ 85395-2601
(623) 935-9494
(623) 935-9292
Mailing address
13657 W MCDOWELL RD, SUITE 118, GOODYEAR, AZ 85395-2601
(623) 935-9494
(623) 935-9292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50094
AZ
Other
Enumeration date
04/09/2012
Last updated
09/27/2016
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