Healthcare Provider Details

I. General information

NPI: 1508637125
Provider Name (Legal Business Name): PHYSICIANS OF ARIZONA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 W FRYE RD
CHANDLER AZ
85224-6282
US

IV. Provider business mailing address

2625 E WARBLER RD
GILBERT AZ
85297-8181
US

V. Phone/Fax

Practice location:
  • Phone: 855-805-3665
  • Fax:
Mailing address:
  • Phone: 855-805-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMVINAY SRIVATSAVA SEDDABATTULA
Title or Position: OWNER
Credential: MD
Phone: 855-805-3665