SAMPUNARAO KOPPULA

PHOENIX, AZ
NPI1770589558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  13707)
Enumeration Date2005-06-24
Last Update Date2007-12-12
Business Address
SAMPUNARAO KOPPULA M.D.
4441 E MCDOWELL RD # 101
PHOENIX, AZ 85008-4503
Phone number: 602-273-6770
Mailing Address
SAMPUNARAO KOPPULA M.D.
PO BOX 29211
PHOENIX, AZ 85038-9211
Phone number: 602-273-6770