Individual
DR. SAI SRAVANTHI PALAKODETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2627
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46519
KY
207Q00000X
Family Medicine Physician
54535
AZ
207Q00000X
Family Medicine Physician
L3203R
AL
208M00000X
Hospitalist Physician
Primary
54535
AZ
Other
Enumeration date
08/26/2010
Last updated
07/18/2022
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