Organization
KEYSTONE MEDICAL, PLLC
Active
Organization
KEYSTONE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PRADHAN-NARA MD (SOLE MEMBER)
(520) 266-4338
Entity
Organization
Contact information
Practice address
6211 N LA CHOLLA BLVD, TUCSON, AZ 85741-3528
(520) 575-0900
(520) 547-2382
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 722-3777
(520) 547-2382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32180
AZ
310400000X
Assisted Living Facility
32180
AZ
314000000X
Skilled Nursing Facility
32180
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897280
—
AZ
Enumeration date
01/07/2014
Last updated
02/11/2025
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