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Individual

DR. MURALI MACHERLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13640 N 99TH AVE STE 400, SUN CITY, AZ 85351-2867
(602) 999-9999
(480) 393-1970
Mailing address
PO BOX 5877, PEORIA, AZ 85385-5877
(510) 679-3980
(510) 679-3980

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2006026943
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36680
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219431
AZ
01
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
09/15/2006
Last updated
05/03/2021
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