Individual
LUYI DE PRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7362 W THUNDERBIRD RD, PEORIA, AZ 85381-5028
(602) 843-5455
Mailing address
2149 EAST WARNER ROAD STE 102, TEMPE, AZ 85284-3495
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197763
PA
207RN0300X
Nephrology Physician
Primary
50752
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041439
—
AZ
Enumeration date
06/25/2010
Last updated
08/28/2015
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