Kamineni, Sudha
Kamineni, Sudha is an individual health care provider with primary practice located at 1840 S Stapley Dr 101, Mesa AZ 85204-6681. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kamineni, Sudha can be contacted via phone (480) 464-8500.Contact Information
Primary practice address
1840 S Stapley Dr 101
Mesa AZ 85204-6681
Phone: (480) 464-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28880 | Arizona |
Profile Details
| NPI number | 1619957339 |
|---|---|
| LBN Legal business name | Kamineni, Sudha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Feb 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619957339 | NPPES |
| Arizona | MEDICAID | 270223 |
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