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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 14396 | AZ | Yes |
Practice location
111 El Camino RealSierra Vista, AZ 85635-2807
Phone 520-459-3850 · Fax 520-459-3857
Mailing address
111 El Camino RealSierra Vista, AZ 85635-2807
Phone 520-459-3850 · Fax 520-459-3857
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