Individual
RAKESH GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5358 E BASELINE RD, MESA, AZ 85206-4716
(602) 748-9187
(602) 748-9187
Mailing address
5358 E BASELINE RD, MESA, AZ 85206-4716
(602) 748-9187
(602) 748-9187
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50089
AZ
208M00000X
Hospitalist Physician
Primary
50089
AZ
Other
Enumeration date
06/25/2012
Last updated
02/12/2026
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