KANTI SRI VITTALA

MESA, AZ
NPI1669760468
Former NameSATYA S VITTALA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: AZ  50690)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
208000000X Pediatrics
(Licence: CA  A128129)
Enumeration Date2011-07-13
Last Update Date2019-01-02
Business Address
Dr. KANTI SRI VITTALA MD
1400 S DOBSON RD
MESA, AZ 85202-4707
Phone number: 480-412-5437
Mailing Address
Dr. KANTI SRI VITTALA MD
1790 S VILLAS LN
CHANDLER, AZ 85286-8416
Phone number: