Provider Demographics
NPI:1437314945
Name:UNIVERSITY MEDICAL CENTER
Entity Type:Organization
Organization Name:UNIVERSITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL ASSISTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:THIRIPURASUNDARI
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGAZHENDHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-694-1607
Mailing Address - Street 1:707 N ALVERNON WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1830
Mailing Address - Country:US
Mailing Address - Phone:520-694-1607
Mailing Address - Fax:520-694-1428
Practice Address - Street 1:707 N ALVERNON WAY STE 101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1830
Practice Address - Country:US
Practice Address - Phone:520-694-1607
Practice Address - Fax:520-694-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR70390284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital