Nutakki, Anupama

Nutakki, Anupama is an individual health care provider with primary practice located at 3048 E Baseline Rd Ste 120 , Mesa AZ 85204-7288. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Nutakki, Anupama can be contacted via phone (480) 505-3276.

Contact Information

Primary practice address
3048 E Baseline Rd Ste 120 Mesa AZ 85204-7288
Phone: (480) 505-3276
Fax: (480) 505-3288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33663 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33663 Arizona

Profile Details

NPI number 1386605657
LBN Legal business name Nutakki, Anupama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Nov 22nd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386605657 NPPES
Arizona MEDICAID 128721

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