Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 53953 | AZ |
N | 2084N0600X | Clinical Neurophysiologist | 53953 | AZ |
NPI | 1396037644 |
---|---|
Provider Name | Dr. Brian Leonard Appavu |
First Address | Phoenix, AZ 85018-2327 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2011 |
Last Update Date | 05/01/2022 |