Organization
RD INTEGRATED HEALTH PLLC
Active
Other names
Psych MD AZ, Psych MD AZ LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MALAR KUPPAN (PROVIDER, ADMIN, & OWNER)
(623) 301-9992
Entity
Organization
Contact information
Practice address
5310 W THUNDERBIRD RD STE 202, GLENDALE, AZ 85306-4712
(623) 301-9992
(623) 432-7006
Mailing address
5519 W BANFF LN, GLENDALE, AZ 85306-3045
(623) 261-5258
(623) 432-7006
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/15/2021
Last updated
05/06/2026
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