Individual
MR. SHAIK VAVANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 E MCDOWELL RD, APPT 2057, PHOENIX, AZ 85008-7475
(602) 869-0785
Mailing address
4225 E MCDOWELL RD, PHOENIX, AZ 85008-7475
(602) 869-0785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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