Individual
DR. THARESH UDUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10484 W THUNDERBIRD BLVD STE 100, SUN CITY, AZ 85351-6019
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1261
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD-000599
AZ
213EP1101X
Primary Podiatric Medicine Podiatrist
POD-000599
AZ
213ES0000X
Sports Medicine Podiatrist
POD-000599
AZ
213ES0131X
Foot Surgery Podiatrist
Primary
POD-000599
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842171
—
AZ
Enumeration date
06/13/2005
Last updated
04/29/2025
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