Provider Demographics
NPI:1275733701
Name:PATURI, ANURADHA (MD)
Entity Type:Individual
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First Name:ANURADHA
Middle Name:
Last Name:PATURI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:20325 N 51ST AVE
Mailing Address - Street 2:STE 130
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5677
Mailing Address - Country:US
Mailing Address - Phone:602-459-7267
Mailing Address - Fax:602-759-6075
Practice Address - Street 1:7600 N 15TH ST
Practice Address - Street 2:STE. 155
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4327
Practice Address - Country:US
Practice Address - Phone:602-242-4928
Practice Address - Fax:602-249-4813
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2016-03-21
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Provider Licenses
StateLicense IDTaxonomies
AZ44857207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ146877Medicare PIN