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Individual

KOTESWARA CHUNDU

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5404
Mailing address
3255 E ELWOOD ST, #110, PHOENIX, AZ 85034-7256
(602) 470-5043
(602) 470-5064

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
20593
AZ

Other

Enumeration date
05/20/2006
Last updated
07/08/2007
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