PATTABI KALYANAM MD PC
Osteopathic Medicine in Scottsdale, AZ

License number
Arizona 27627
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: PATTABI KALYANAM M.D.
Title: PRESIDENT
Phone: (623) 915-0270
Address
Address
5425 E Bell Rd Suite 115 BLDG 3, Scottsdale, AZ 85254
National Provider ID: 1417055708
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PATTABI, LLC

13532 N 137 St, Scottsdale, AZ 85259

Status:
Inactive
Industry:
Anesthesiology, Radiology, Pain Management
Doing business as:
PATTABI KALYANAM, M.D., PC<br>Pattabi Kalyanam MD
Inactive reason:
Ad-dissolved-file annual report
Registration:
Dec 20, 2012
Inactive since:
Feb 5, 2014
Site:
arizonapaincenters.com
Phone:
(480) 991-3005 (Phone)
State ID:
L-1812258-4
Expiration:
PERPETUAL
S:
Anu R Desu-Kalyanam (Manager), 13532 N 137 St, Scottsdale, AZ 85259 (Physical),Sheila K Kalyanam (Manager, Secretary), 500 4 Ave APT D, Brooklyn, NY 11215 (Physical)
Apartment 4 APARTMENT 4D, Brooklyn, NY 11215 (Physical),Anu Kalyanam (President), 13532 N 137 St, Scottsdale, AZ 85259 (Physical),...

Pattabi Kalyanam, M.D., PC

7250 E Cortez Rd, Scottsdale, AZ 85260

Status:
Inactive
Industry:
Medical Doctor's Office

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