Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2014001412 | MO |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 55238 | AZ |
NPI | 1003168840 |
---|---|
Provider Name | Dr. Naga Nalini Tirumalasetty |
First Address | Chandler, AZ 85225-2548 |
Second Address | Chandler, AZ 85225-2548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2012 |
Last Update Date | 11/03/2019 |