Individual
KARUKURICHI VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2223 E BASELINE RD, SUITE A, GILBERT, AZ 85234-2325
(480) 835-5302
(480) 844-2081
Mailing address
2223 E BASELINE RD, SUITE A, GILBERT, AZ 85234-2325
(480) 835-5302
(480) 844-2081
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
9783
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226838
—
AZ
Enumeration date
02/10/2006
Last updated
10/01/2025
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