Poduval, Aruna Divakaran
Poduval, Aruna Divakaran is an sole proprietor health care provider with primary practice located at 2204 S Dobson Rd Ste 103 , Mesa AZ 85202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Poduval, Aruna Divakaran can be contacted via phone (480) 757-6457.Contact Information
Primary practice address
2204 S Dobson Rd Ste 103
Mesa AZ 85202
Phone: (480) 757-6457
Fax: (480) 378-7090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 49420 | Arizona |
Profile Details
| NPI number | 1174773717 |
|---|---|
| LBN Legal business name | Poduval, Aruna Divakaran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2008 |
| Last updated | Jun 1st, 2018 - about 8 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 | 1174773717 | NPPES |
| Arizona | MEDICAID | 961725 |
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