Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BONIFASIYO K. SSENNYAMANTONO, MD
ActiveDR. BONIFASIYO K. SSENNYAMANTONO, MD is a Cardiovascular Disease healthcare provider located in AVONDALE, Arizona. NPI 1902813678 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · AVONDALE, AZ
Registration Details
- NPI Number
- 1902813678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.047844720876 yrs)
- Last Updated
- Jul 31, 2024
- License
-
35788 (AZ)
Practice Information
- Address
-
10815 W MCDOWELL RDSUITE 202AVONDALE, AZ, 853925007Browse AZ providers · Browse ZIP 85392
- Phone
- 6234330202
- Fax
- 6234330206
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in AVONDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. KARL E.T. MOON | MD | 1376544577 |
| RIYAZ A SUMAR | MD | 1144212721 |
| DR. LORNE WILLIAM MURRAY | MD | 1609857705 |
| ADHAR SETH | MD | 1164539755 |
| ARUN S. PATIL | M.D. | 1093955908 |
| UPAMANYU RAMPAL | M.D | 1790195741 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.