Organization
RD MEDICAL PLLC
Active
Organization
RD MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALAR KUPPAN DNP, AGACNP,PMHNP (OWNER/PROVIDER)
(623) 261-5258
Entity
Organization
Contact information
Practice address
5310 W THUNDERBIRD RD STE 202, GLENDALE, AZ 85306-4712
(623) 688-2643
(623) 432-7006
Mailing address
5519 W BANFF LN, GLENDALE, AZ 85306-3045
(623) 261-5258
(623) 432-7006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/29/2024
Last updated
03/13/2025
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