Individual
DR. SOPHIA MADAHAR ROALKVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6242 E ARBOR AVE STE 111-113, MESA, AZ 85206-1309
(480) 536-6863
(480) 718-1301
Mailing address
8207 E MARIPOSA DR, SCOTTSDALE, AZ 85251-1734
(909) 472-6885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63941
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
09/15/2021
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