Rumbha Virasoontara Bhandhusavee, M.D.
Individual provider Active NPI Pediatric Adolescent Medicine Physician · Glendale, AZ
NPI 1093733644 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093733644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- 6664 (AZ)
- Practice address
- 13980 N 67TH Ave
Suite Number 1
Glendale, AZ 85306-3715 - Phone
- (623) 979-9545
- Fax
- (623) 878-2126
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6664 | AZ | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 6664 | AZ | Yes |
Addresses
Primary practice location
13980 N 67TH Ave
Suite Number 1
Glendale, AZ 85306-3715
Mailing address
13980 N 67TH Ave
Suite Number 1
Glendale, AZ 85306-3715
Phone (623) 979-9545
Other names
- Dr. Rumbha Bhandhusavee
Other providers in Glendale, AZ
- Simran Bhakta
- Hailey Bhambri
- Malti Bhamrah
- Manjit Bhamrah
- Paul Singh Bhamrah
- Inderjeet Singh Bharaj
- Karan Bhasin
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC
All providers in Glendale, AZ · Pediatric Adolescent Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.