Healthcare Provider Details

I. General information

NPI: 1801213731
Provider Name (Legal Business Name): DR. HEMIKAA DEVAKUMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4344 E PRESIDIO ST
MESA AZ
85215-1143
US

IV. Provider business mailing address

4344 E PRESIDIO ST
MESA AZ
85215-1143
US

V. Phone/Fax

Practice location:
  • Phone: 480-834-5111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number55239
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: