Individual
VASUDHA L BHAVARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 546-1000
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
30076
AZ
208M00000X
Hospitalist Physician
Primary
30076
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707713
—
AZ
Enumeration date
04/04/2006
Last updated
04/03/2017
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