Basic Information
Provider Information
NPI: 1023305786
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SETTIPALLI
FirstName: SRILAKSHMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2929 E THOMAS RD
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850168034
CountryCode: US
TelephoneNumber: 6024705000
FaxNumber: 6024705064
Practice Location
Address1: 811 S HAMILTON ST
Address2:  
City: CHANDLER
State: AZ
PostalCode: 852256308
CountryCode: US
TelephoneNumber: 4803446100
FaxNumber: 4803446101
Other Information
ProviderEnumerationDate: 07/01/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X54476AZY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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