East Valley Infectious Disease Medicine LLC
East Valley Infectious Disease Medicine LLC is an Infectious Disease Physician in Mesa, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6040 E Main St # 516Mesa, AZ 85205-8928
Phone: (480) 648-7895
Fax: (623) 552-3320
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X |
|---|
Record details
| NPI number | 1508643628 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shashikala Ameneni — Authorized Signer · (480) 648-7895 |
| NPI enumerated | September 12, 2023 |
| Last updated in NPPES | April 23, 2025 |
| Certification date | April 23, 2025 |
| Mailing address | Evidm Lockbox Dept 880778, Po Box 29650, Phoenix, AZ 85038-9650 |
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