Individual
MISS SRAVANTHI VEGUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11023 N SAINT ANDREWS WAY, SCOTTSDALE, AZ 85254-4801
(309) 303-2606
Mailing address
11023 N SAINT ANDREWS WAY, SCOTTSDALE, AZ 85254-4801
(309) 303-2606
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10498736-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
04/14/2022
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