Organization
SRIVANI SRIKANTIAH, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIVANI K SRIKANTIAH MD (PHYSICIAN)
(480) 522-9462
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE, SUITE 138, GLENDALE, AZ 85308-1260
(602) 564-0078
(602) 564-2719
Mailing address
PO BOX 28712, SCOTTSDALE, AZ 85255-0161
(480) 522-9462
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
34435
AZ
Other
Enumeration date
04/27/2012
Last updated
01/13/2025
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