Individual
DR. MOHAN VENKATNARSIMHA BELTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCS , FRCSC
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3033
(602) 933-4311
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-1815
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
47713
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
47713
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811357
—
AZ
Enumeration date
02/11/2011
Last updated
04/15/2022
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