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Individual

DR. SRI RAGHAV SISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,M.S

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(713) 500-8935
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
T5036
TX
2084N0400X
Neurology Physician
67346
MN
2084N0400X
Neurology Physician
69526
AZ
2084N0600X
Clinical Neurophysiology Physician
Primary
T5036
TX

Other

Enumeration date
07/26/2016
Last updated
01/12/2024
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