Organization
MANDEEP K RAI PLC
Active
Organization
MANDEEP K RAI PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDEEP K RAI MD (OWNER/PHYSICIAN)
(602) 220-2316
Entity
Organization
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-1000
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
—
529206
—
AZ
Enumeration date
11/15/2006
Last updated
03/06/2019
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