Provider profile

Individual

Komandoor Srivathsan

Internal Medicine in Phoenix, AZ. NPI 1316920242, listed in the CMS NPI Registry since 11/23/2005. Bills Medicare.

NPI 1316920242Specialty Internal MedicineEnumerated 11/23/2005
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Registry and Medicare facts

Practice location
5777 E Mayo Blvd, Phoenix, AZ 85054
CMS NPI Registry
Phone
(480) 301-8000
CMS NPI Registry
Specialty
Internal Medicine
CMS NPI Registry
Subspecialty
Clinical Cardiac Electrophysiology
CMS NPI Registry
Enumeration date
11/23/2005
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,484 Part B, 253 with Part D prescriptions
CMS Medicare 2024

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