Sreecharana, Thimmavajjhala
Sreecharana, Thimmavajjhala is an sole proprietor health care provider with primary practice located at 13260 N 94Th Dr Suite 101, Peoria AZ 85381-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Sreecharana, Thimmavajjhala can be contacted via phone (623) 933-2732.Contact Information
Primary practice address
13260 N 94Th Dr Suite 101
Peoria AZ 85381-4828
Phone: (623) 933-2732
Fax: (623) 972-1323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 19302 | Arizona |
Profile Details
| NPI number | 1013984970 |
|---|---|
| LBN Legal business name | Sreecharana, Thimmavajjhala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Oct 15th, 2007 - about 19 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 | 1013984970 | NPPES |
| Arizona | MEDICAID | 171182 |
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