Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 252324 | NY |
Y | 207W00000X | Ophthalmologist | 44792 | AZ |
NPI | 1013065770 |
---|---|
Provider Name | Madhavi Kurli |
First Address | Phoenix, AZ 85024-1689 |
Second Address | Phoenix, AZ 85024-1689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 24/01/2020 |