Individual
DR. VIDYA SURAPANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Mailing address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46178
AZ
Other
Enumeration date
07/27/2009
Last updated
11/05/2014
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