Individual
DR. SUHRUD JAYADEV PANCHAWAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
2311 E UNION HILLS DR APT 221, PHOENIX, AZ 85024-3046
(480) 570-2718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R81786
AZ
Other
Enumeration date
07/21/2025
Last updated
07/22/2025
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