Pesari, Madhavi R
Pesari, Madhavi R is an sole proprietor health care provider with primary practice located at 55 S 63Rd St Suite 6, Mesa AZ 85206-1605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pesari, Madhavi R can be contacted via phone (480) 981-9234.Contact Information
Primary practice address
55 S 63Rd St Suite 6
Mesa AZ 85206-1605
Phone: (480) 981-9234
Fax: (480) 981-3038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29667 | Arizona |
Profile Details
| NPI number | 1528047891 |
|---|---|
| LBN Legal business name | Pesari, Madhavi R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Oct 8th, 2013 - about 13 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 | 1528047891 | NPPES |
| Arizona | MEDICAID | 6100734 |
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