Individual
DR. AMOL NANAK RAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 W EUGIE AVE STE 106, GLENDALE, AZ 85304-1256
(602) 978-6255
(602) 564-9286
Mailing address
26202 N 47TH DR, GLENDALE, AZ 85310-1677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29566
AZ
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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