Individual
KAAVYA REDDY MATATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19646 N 27TH AVE STE 201, PHOENIX, AZ 85027-4026
(602) 663-9371
(602) 456-6887
Mailing address
19646 N 27TH AVE STE 201, PHOENIX, AZ 85027-4026
(602) 663-9371
(602) 456-6887
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52218
AZ
208600000X
Surgery Physician
MD.206827
LA
Other
Enumeration date
04/15/2009
Last updated
03/04/2020
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