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NPI Code Detail

MEDICARE: DR. SHILPA PEDAPATI M.D

MEDICARE:  DR. SHILPA  PEDAPATI  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician56245AZ

General Provider Information

NPI Number : 1295103299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHILPA PEDAPATI M.D
Provider Business Mailing Address
First Line : 3333 E CAMELBACK RD STE 180
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-2396
Country : US
Telephone Number : 602-759-6883
Fax Number : 602-244-3358
Provider Business Practice Location Address
First Line : 5750 W THUNDERBIRD RD STE F680
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4693
Country : US
Telephone Number : 602-843-7171
Fax Number : 602-843-5909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2015
Last Update Date : 09/17/2024

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Directions to “ DR. SHILPA PEDAPATI M.D” Practice Location

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