Individual
MANDEEP K RAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
4531 N 16TH ST STE 114, PHOENIX, AZ 85016-5344
(602) 274-0078
(602) 266-4477
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
27036
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522533
—
AZ
01
—
P00251398
RR MEDICARE
AZ
Enumeration date
10/22/2007
Last updated
03/06/2019
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