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Individual

CHARAN TEJA REDDY YERASI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10503 W THUNDERBIRD BLVD STE 103, SUN CITY, AZ 85351-3047
(623) 974-3649
(623) 974-3649
Mailing address
10503 W THUNDERBIRD BLVD STE 103, SUN CITY, AZ 85351-3047
(623) 974-3649
(623) 974-3649

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
62611
AZ
207RI0011X
Interventional Cardiology Physician
62611
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62611
ARIZONA MEDICAL BOARD
AZ
Enumeration date
07/11/2013
Last updated
07/26/2021
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