Individual
AHDEV KUPPUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3370 S MERCY RD STE 321, GILBERT, AZ 85297-0414
(480) 550-9393
(480) 999-3375
Mailing address
3370 S MERCY RD STE 321, GILBERT, AZ 85297-0414
(480) 550-9393
(480) 999-3375
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
44807
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
44807
AZ
Other
Enumeration date
04/13/2011
Last updated
02/06/2020
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