| Glendale Infectious Diseases, PLLC | |
|
5310 W Thunderbird Rd Ste 201 Glendale AZ 85306-4722 | |
| (623) 335-4110 | |
| (623) 335-4130 |
| Full Name | Glendale Infectious Diseases, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5310 W Thunderbird Rd Ste 201, Glendale, Arizona |
| Authorized Official Name and Position | Mandeep Kaur Rai (MD/OWNER) |
| Authorized Official Contact | 6233354110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Infectious Diseases, PLLC 5310 W Thunderbird Rd Ste 201 Glendale AZ 85306-4722 Ph: (623) 335-4110 | Glendale Infectious Diseases, PLLC 5310 W Thunderbird Rd Ste 201 Glendale AZ 85306-4722 Ph: (623) 335-4110 |
| NPI Number | 1730983412 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Medicare PECOS PAC ID | 8123539798 |
|---|---|
| Medicare Enrollment ID | O20250619001786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730983412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Ngozi a Osondu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598778177 PECOS PAC ID: 3476540519 Enrollment ID: I20040501000180 |
| Provider Name | Mandeep K Rai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861681231 PECOS PAC ID: 0143258467 Enrollment ID: I20050728000775 |
| Provider Name | Gina L Wu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205065927 PECOS PAC ID: 0244523108 Enrollment ID: I20160729001262 |
| Provider Name | Shakthishree Kandaswamy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427431147 PECOS PAC ID: 8527373208 Enrollment ID: I20231208001337 |
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