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Individual

KAMALA VALLABHANENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8705 E MCDOWELL RD, SCOTTSDALE, AZ 85257-3909
(480) 882-4545
(480) 405-8929
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50704
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A1145130
CA
05
043251
AZ
Enumeration date
06/12/2009
Last updated
10/20/2023
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