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1235727215
DIVYA PRAMOD NIMMATOORI
PHOENIX, AZ
NPI
1235727215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 73916)
Enumeration Date
2021-01-06
Last Update Date
2024-08-20
Business Address
DIVYA PRAMOD NIMMATOORI MD
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032-1511
Phone number: 602-992-1900
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Mailing Address
DIVYA PRAMOD NIMMATOORI MD
18404 N TATUM BLVD STE 101
PHOENIX, AZ 85032-1511
Phone number: 602-992-1900
Copy
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