Individual
KRISTEN E SAMADDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0945
(602) 933-4263
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32709
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870122
—
AZ
Enumeration date
08/31/2006
Last updated
02/07/2018
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