Provider Demographics
NPI:1588839419
Name:SRAOW, DAN INDER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAN INDER
Middle Name:SINGH
Last Name:SRAOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 E SOUTHERN AVE
Mailing Address - Street 2:I-1
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7610
Mailing Address - Country:US
Mailing Address - Phone:480-821-3800
Mailing Address - Fax:480-821-3806
Practice Address - Street 1:2600 E SOUTHERN AVE
Practice Address - Street 2:I-1
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7610
Practice Address - Country:US
Practice Address - Phone:480-821-3800
Practice Address - Fax:480-821-3806
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50585207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology