Individual
SHIRAZALI G SUNDERJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD, PHOENIX, AZ 85013-4224
(602) 406-7048
(602) 406-7650
Mailing address
500 W THOMAS RD, SUITE 700, PHOENIX, AZ 85013-4224
(602) 406-7048
(602) 406-7650
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35080258
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212142
ANTHEM COMMERICAL
OH
01
—
04105
PARAMOUNT
OH
01
—
0614026003
CIGNA
OH
01
—
142083
CARE CHOICES
OH
05
—
2283309
—
OH
01
—
344428256
BEECH STREET
CA
01
—
344428256
FRONTPATH
OH
01
—
344428256044
CARESOURCES
OH
01
—
4200779
AETNA
OH
05
—
4360620
—
MI
01
—
C59127
HEALTH ALLICANCE PLAN
MI
01
—
OC92768
NATIONWIDE
OH
Enumeration date
06/27/2005
Last updated
03/28/2016
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