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Individual

ANIL A GOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 505-4479
(623) 505-9880
Mailing address
3655 W ANTHEM WAY, SUITE A-109; PMB313, ANTHEM, AZ 85086-0430
(623) 505-4479
(623) 505-9880

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29518
AZ
208M00000X
Hospitalist Physician
Primary
29518
AZ

Other

Enumeration date
05/11/2006
Last updated
08/05/2010
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