Rodelas, Raul
Rodelas, Raul is an individual health care provider with primary practice located at 13090 N 94Th Dr Ste 210, Peoria AZ 85381-4256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rodelas, Raul can be contacted via phone (623) 974-1763.Contact Information
Primary practice address
13090 N 94Th Dr Ste 210
Peoria AZ 85381-4256
Phone: (623) 974-1763
Fax: (623) 972-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 10719 | Arizona |
Profile Details
| NPI number | 1891798443 |
|---|---|
| LBN Legal business name | Rodelas, Raul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Feb 10th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891798443 | NPPES |
| Arizona | MEDICAID | 219289 |
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