Individual
DR. MEENA VENUGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 S DOBSON RD STE 100, CHANDLER, AZ 85286-6158
(480) 347-4300
(480) 347-4360
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30137
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689135
—
AZ
Enumeration date
08/09/2006
Last updated
07/11/2023
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