| Rd Medical PLLC | |
|
5310 W Thunderbird Rd Ste 202 Glendale AZ 85306-4712 | |
| (623) 688-2643 | |
| (623) 432-7006 |
| Full Name | Rd Medical PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5310 W Thunderbird Rd Ste 202, Glendale, Arizona |
| Authorized Official Name and Position | Malar Kuppan (OWNER/PROVIDER) |
| Authorized Official Contact | 6232615258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rd Medical PLLC 5519 W Banff Ln Glendale AZ 85306-3045 Ph: (623) 261-5258 | Rd Medical PLLC 5310 W Thunderbird Rd Ste 202 Glendale AZ 85306-4712 Ph: (623) 688-2643 |
| NPI Number | 1023834595 |
|---|---|
| Provider Enumeration Date | 11/29/2024 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Medicare PECOS PAC ID | 8921518226 |
|---|---|
| Medicare Enrollment ID | O20250606000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023834595 | NPI | - | NPPES |
| Provider Name | Malar Kuppan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295216190 PECOS PAC ID: 1456695998 Enrollment ID: I20181210002790 |
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