Individual
DR. PRIYA VANNARATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
2702 N 3RD ST, SUITE 4020, PHOENIX, AZ 85004-1130
(602) 323-3345
(602) 323-3399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
533339
TX
208000000X
Pediatrics Physician
Primary
PENDING
AZ
Other
Enumeration date
07/10/2008
Last updated
07/17/2013
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