Provider Demographics
NPI:1205950094
Name:SARIHAN, VEENA VASUDEV (MD)
Entity type:Individual
Prefix:DR
First Name:VEENA
Middle Name:VASUDEV
Last Name:SARIHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 E BELL RD
Mailing Address - Street 2:DESERT VALLEY MEDICAL PLAZA SUITE #123
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2236
Mailing Address - Country:US
Mailing Address - Phone:602-787-2626
Mailing Address - Fax:602-787-2640
Practice Address - Street 1:4045 E BELL RD
Practice Address - Street 2:DESERT VALLEY MEDICAL PLAZA SUITE #123
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2236
Practice Address - Country:US
Practice Address - Phone:602-787-2626
Practice Address - Fax:602-787-2640
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19968208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ337403Medicaid