Aruna Divakaran Poduval, MD | |
2204 S Dobson Rd Ste 103, Mesa, AZ 85202 | |
(480) 757-6457 | |
(480) 378-7090 |
Full Name | Aruna Divakaran Poduval |
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Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 2204 S Dobson Rd Ste 103, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174773717 | NPI | - | NPPES |
961725 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 49420 (Arizona) | Primary |
Entity Name | Sonoran Pediatric Endocrinology & Diabetes Institute, Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841721461 PECOS PAC ID: 0941557532 Enrollment ID: O20180730000185 |
Mailing Address | Practice Location Address |
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Aruna Divakaran Poduval, MD 2204 S Dobson Rd Ste 103, Mesa, AZ 85202-6457 Ph: (480) 757-6457 | Aruna Divakaran Poduval, MD 2204 S Dobson Rd Ste 103, Mesa, AZ 85202 Ph: (480) 757-6457 |
Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500 | |
Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887 | |
Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201 | |
Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013 | |
Naresh Reddivalla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd Ste 107, Mesa, AZ 85202 Phone: 480-412-4100 | |
Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551 | |
Dr. Leno Mammen Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202 Phone: 480-412-6430 |