Organization
EAST TUCSON IM & GERIATRICS, INC
Active
Parent organization
EAST TUCSON IM & GERIATRICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TUCSON IM & GERIATRICS, INC
Authorized official
DR. RAMAKRISHNAN SUBBUREDDIAR MD (PRESIDENT)
(520) 296-8733
Entity
Organization
Contact information
Practice address
6556 E CARONDELET DR, TUCSON, AZ 85710-2117
(520) 296-8733
(520) 296-8734
Mailing address
6556 E CARONDELET DR, TUCSON, AZ 85710-2117
(520) 296-8733
(520) 296-8734
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
30466
AZ
Other
Enumeration date
10/31/2005
Last updated
11/29/2007
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