Individual
DR. SHOBHA PARVATHALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
2153 E BASELINE RD, SUITE 101, TEMPE, AZ 85283-1545
(480) 820-1855
(480) 820-8451
Mailing address
2153 E BASELINE RD, SUITE 101, TEMPE, AZ 85283-1545
(480) 820-1855
(480) 820-8451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25533
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393637
—
AZ
Enumeration date
09/06/2005
Last updated
07/08/2007
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