Organization
GATEWAY PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA CHANDRASEKHAR MD (OWNER)
(480) 963-6668
Entity
Organization
Contact information
Practice address
655 S DOBSON RD, B218, CHANDLER, AZ 85224-5667
(480) 963-6668
(480) 963-6669
Mailing address
655 S DOBSON RD, B218, CHANDLER, AZ 85224-5667
(480) 963-6668
(480) 963-6669
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649494
—
AZ
Enumeration date
05/28/2006
Last updated
02/26/2008
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