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Jaya H Maddur, MD

Internal Medicine, Gastroenterology in Sierra Vista, AZ. Individual provider (NPI-1).

NPI number1316038136
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1316038136
Entity type
Individual (NPI-1)
Name
Jaya H Maddur
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology14396AZYes

Practice location

111 El Camino Real
Sierra Vista, AZ 85635-2807

Phone 520-459-3850 · Fax 520-459-3857

Mailing address

111 El Camino Real
Sierra Vista, AZ 85635-2807

Phone 520-459-3850 · Fax 520-459-3857

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