| Jaya Hari Maddur Md Pc | |
|
111 El Camino Real Sierra Vista AZ 85635-2807 | |
| (520) 459-3850 | |
| (520) 459-3857 |
| Full Name | Jaya Hari Maddur Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 111 El Camino Real, Sierra Vista, Arizona |
| Authorized Official Name and Position | Jaya Maddur (OWNER / PRESIDENT) |
| Authorized Official Contact | 5204593850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaya Hari Maddur Md Pc 111 El Camino Real Sierra Vista AZ 85635-2807 Ph: (520) 459-3850 | Jaya Hari Maddur Md Pc 111 El Camino Real Sierra Vista AZ 85635-2807 Ph: (520) 459-3850 |
| NPI Number | 1265603476 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265603476 | NPI | - | NPPES |
| 232017 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 14396 (Arizona) | Primary |
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