Individual
DR. OMAR VISWANATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 E HIGHLAND AVE STE 110, PHOENIX, AZ 85016-4874
(602) 767-0007
Mailing address
2222 E HIGHLAND AVE STE 110, PHOENIX, AZ 85016-4874
(602) 767-0007
(602) 767-0027
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
271672
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
55185
AZ
Other
Enumeration date
07/15/2013
Last updated
04/08/2024
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