IndividualActive
Komandoor Srivathsan, M.D.
NPI 1316920242 · Clinical Cardiac Electrophysiology Physician · Phoenix, AZ
Provider details
- NPI number
- 1316920242
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 24301 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 301-8000
Approximate (ZIP-level) locationGet directions
Mailing address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2020-09-10
- Certified
- 2020-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.