Individual
DR. RAJIV SIDDARAMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4742 N 24TH ST STE 300, PHOENIX, AZ 85016-9107
(602) 753-8120
Mailing address
3219 E CAMELBACK RD # 224, PHOENIX, AZ 85018-2307
(602) 753-8120
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
37181
AZ
208M00000X
Hospitalist Physician
27432
OK
208M00000X
Hospitalist Physician
37181
AZ
Other
Enumeration date
05/29/2007
Last updated
11/14/2024
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