| Shashikala Ameneni Pllc | |
|
4446 E Des Moines St Mesa AZ 85205-6339 | |
| (480) 985-1093 | |
| Not Available |
| Full Name | Shashikala Ameneni Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4446 E Des Moines St, Mesa, Arizona |
| Authorized Official Name and Position | Shashikala Ameneni (PRESIDENT) |
| Authorized Official Contact | 4809851093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shashikala Ameneni Pllc 4446 E Des Moines St Mesa AZ 85205-6339 Ph: (480) 985-1093 | Shashikala Ameneni Pllc 4446 E Des Moines St Mesa AZ 85205-6339 Ph: (480) 985-1093 |
| NPI Number | 1225183585 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225183585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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