Rodolfo C Nellas is a Specialist in Glendale, Arizona. Rodolfo C Nellas practices all healthcare services and medical treatments related to Specialist. The NPI Number for Rodolfo C Nellas is 1609868611. The last update date is 2017-10-18.
Rodolfo C Nellas's current location address is 17505 N 79th Ave Ste 201, Glendale, Arizona. You can contact this provider via phone number 6232369295 and fax number 6232368819. The mailing address for Rodolfo C Nellas is 17505 N 79th Ave Ste 201, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodolfo C Nellas |
|---|---|
| Address | 17505 N 79th Ave Ste 201, Glendale, Arizona |
| Phone Number | 6232369295 |
| Fax Number | 6232368819 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609868611 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2017-10-18 |
Provider Mailing Address Detail
| Address | 17505 N 79th Ave Ste 201 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 85308 |
| Phone Number | 6232369295 |
| Fax Number | 6232368819 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 12395 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4304 | AZ | BLUE CROSS BLUE SHIELD-AZ |
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What is the unique 10-digit identification code issued to Rodolfo C Nellas by the Centers for Medicare & Medicaid Services?
The Rodolfo C Nellas has been assigned the NPI (National Provider Identifier) 1609868611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Rodolfo C Nellas's facilities are situated?
The facilities of Rodolfo C Nellas are physically located at the following address: 17505 N 79Th Ave Ste 201, Glendale, AZ, 85308.
What is Rodolfo C Nellas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rodolfo C Nellas is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did the Rodolfo C Nellas receive its 1609868611?
The Rodolfo C Nellas was issued its 1609868611 on 2005-08-16, which is the date when the organization was assigned this unique identifier.
As of what date were the Rodolfo C Nellas's details last updated?
The information pertaining to the Rodolfo C Nellas, including its address, specialty, and other details, was most recently updated on 2017-10-18.
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