Jaya Hari Maddur Md Pc | |
111 El Camino Real Sierra Vista AZ 85635-2807 | |
(520) 459-3850 | |
(520) 459-3857 |
Full Name | Jaya Hari Maddur Md Pc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 111 El Camino Real, Sierra Vista, Arizona |
Authorized Official Name and Position | Jaya Maddur (OWNER / PRESIDENT) |
Authorized Official Contact | 5204593850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jaya Hari Maddur Md Pc 111 El Camino Real Sierra Vista AZ 85635-2807 Ph: (520) 459-3850 | Jaya Hari Maddur Md Pc 111 El Camino Real Sierra Vista AZ 85635-2807 Ph: (520) 459-3850 |
NPI Number | 1265603476 |
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Provider Enumeration Date | 03/14/2008 |
Last Update Date | 05/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265603476 | NPI | - | NPPES |
232017 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 14396 (Arizona) | Primary |
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