Organization
ARIZONA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUN LAKSHMIPATHY MD (OWNER/PHYSICIAN)
(602) 920-3318
Entity
Organization
Contact information
Practice address
14505 W GRANITE VALLEY DR, SUN CITY WEST, AZ 85375-5795
(602) 920-3318
(602) 926-8937
Mailing address
4531 N 16TH ST STE 114, PHOENIX, AZ 85016-5344
(602) 920-3318
(602) 926-8937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793185
—
AZ
Enumeration date
02/08/2013
Last updated
06/12/2019
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