Organization · NPI-2

Artisan Primary Care, PLLC

Internal Medicine · Sun City, AZ

NPI number1962989962
StatusActive
Last updated in NPPESApr 26, 2024

Details

NPI
1962989962
Entity type
Organization (NPI-2)
Legal business name
Artisan Primary Care, PLLC
Organization subpart
No
Enumeration date
Jul 23, 2018
Certification date
Apr 26, 2024
Last updated
Apr 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35444AZYes

Other names

  • Srinivasa Madala, MD (Doing Business As)

Practice location

14815 N Del Webb Blvd
Sun City, AZ 85351-2145

Phone 623-277-0759 · Fax 623-200-5519

Mailing address

14815 N Del Webb Blvd
Sun City, AZ 85351-2145

Phone 623-277-0759 · Fax 623-200-5519

Authorized official

Srinivasa Madala
Physician
6238533437

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