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THARA DAMODARAN MD LLC NPI 1023237864


NPI Information

NPI: 1023237864
Provider Name: THARA DAMODARAN MD LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
515 N MESA DR
MESA, AZ
ZIP 85201
Phone: (480) 720-8744
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THARA DAMODARAN MD LLC is an infectious disease internal medicine in Mesa, AZ. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. THARA DAMODARAN MD LLC NPI is 1023237864. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 N MESA DR
MESA, AZ
ZIP 85201-914
Phone: (480) 720-8744
Fax: (480) 656-9802

The provider's authorized official is Thara R Damodaran .
The authorized official title is Owner and has the following contact phone number (480) 720-8744.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious Disease35774ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1L13560915OTHERARIZONAORGANIZATION REGISTRATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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