Aruna Divakaran Poduval, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

49420 Issued in AZ

Practice address

2204 S Dobson Rd Ste 103
Mesa, AZ 85202

Phone

(480) 757-6457

Fax

(480) 378-7090

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: aruna.poduval.1@16070.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16070/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1174773717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-757-6457",
            "fax_number": "480-378-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-757-6457",
            "fax_number": "480-378-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODUVAL",
        "first_name": "ARUNA",
        "middle_name": "DIVAKARAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "AZ",
            "license": "49420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961725",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PNC Podiatry of Arizona PC
• Becky Lynne Pockl, N.P.
• Podiatric Physicians Management
• Podiatric Physicians of Arizona, Inc. (Arizona Institute of Footcare Physicians)
• Jonetta Podmanik, RDH
• Susan Andrea Pogue
• Point North Therapeutic Serivces, PLLC (Point North Therapy)
• Julia Ellen Poirier, DMD, MS
• Theresa Pol, LMSW
• Theodore William Polakowski, ATC

• Pediatric Endocrinology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Endocrinology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.