Thara Damodaran Md Llc

LBN: Thara Damodaran Md Llc
Thara Damodaran Md Llc is an health care organization with primary practice located at 515 N Mesa Dr , Mesa AZ 85201-5914. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Thara Damodaran Md Llc can be contacted via phone (480) 720-8744, or through Damodaran, Thara R via phone (480) 720-8744.

Contact Information

Primary practice address
515 N Mesa Dr Mesa AZ 85201-5914
Phone: (480) 720-8744
Fax: (480) 656-9802
Website:
Map and Directions
Authorized official contact:
Name: Damodaran, Thara R Doctor of Medicine (MD)
Phone: (480) 720-8744

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35774 Arizona

Profile Details

NPI number 1023237864
LBN Legal business name Thara Damodaran Md Llc
DBA Doing business as
Authorized official Damodaran, Thara R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023237864 NPPES
Arizona Other L13560915 ORGANIZATION REGISTRATION

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