Individual
GARY A RADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18404 N TATUM BLVD, SUITE 101, PHOENIX, AZ 85032-1510
(602) 992-1900
(602) 485-7450
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4731
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00255
UNITED HEALTH CARE
AZ
01
—
080100694
RAILROAD MEDICARE
AZ
01
—
1070141
CIGNA
AZ
01
—
1Z1035
HEALTHNET
AZ
05
—
224048
—
AZ
01
—
378583200
DEPT OF LABOR
AZ
01
—
4071670
AETNA
AZ
01
—
5028029
CCN
AS
01
—
73522
FIRST HEALTH
AZ
01
—
99209
MAYO
AZ
01
—
AZ0805140
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/10/2005
Last updated
09/25/2013
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