Organization
YUMA MEDICAL CLINIC P. C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHESH R SUBBU M.D. (CHAIRMAN)
(928) 329-7000
Entity
Organization
Contact information
Practice address
2851 S AVENUE B STE 1201, YUMA, AZ 85364-7745
(928) 329-7000
(928) 329-9303
Mailing address
2851 S AVENUE B STE 1201, YUMA, AZ 85364-7745
(928) 329-7000
(928) 329-9303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891855
—
AZ
Enumeration date
11/28/2007
Last updated
07/21/2022
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