Individual
DR. PREETHI NIMALKA SIVAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
10200 N 92ND ST, STE 102, SCOTTSDALE, AZ 85258-4534
(480) 314-1020
(480) 314-1019
Mailing address
10200 N 92ND ST, SUITE 102, SCOTTSDALE, AZ 85258-4534
(480) 314-1033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25656
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414128
—
AZ
Enumeration date
06/03/2006
Last updated
07/09/2007
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