Individual
THIRUNAVUKARASU SKANTHAROOPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11390 E VIA LINDA, 103, SCOTTSDALE, AZ 85259-4075
(480) 661-5550
Mailing address
5736 N 25TH ST, PHOENIX, AZ 85016-2841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32622
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872508
—
AZ
Enumeration date
08/16/2005
Last updated
07/08/2007
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