Patibandla, Sushmitha

Patibandla, Sushmitha is an individual health care provider with primary practice located at 20414 N 27Th Ave Suite 300, Phoenix AZ 85027-3250. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as her primary health care specialty. Patibandla, Sushmitha can be contacted via phone (623) 879-6000.

Contact Information

Primary practice address
20414 N 27Th Ave Suite 300 Phoenix AZ 85027-3250
Phone: (623) 879-6000
Fax: (623) 516-2000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 42999 Arizona

Profile Details

NPI number 1083946917
LBN Legal business name Patibandla, Sushmitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2010
Last updated Apr 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083946917 NPPES
Arizona MEDICAID 526897

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