Raymond D Adelman, MD
Individual provider Active NPI Pediatric Nephrology Physician · Phoenix, AZ
NPI 1124090626 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1124090626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nephrology Physician 2080P0210X
- License
- 28054 (AZ)
- Practice address
- 1919 E Thomas Rd
BLDG B Dept of Nephrology
Phoenix, AZ 85016-7710 - Phone
- (602) 546-1000
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 28054 | AZ | Yes |
Addresses
Primary practice location
1919 E Thomas Rd
BLDG B Dept of Nephrology
Phoenix, AZ 85016-7710
Mailing address
1919 E Thomas Rd
BLDG C Managed Care
Phoenix, AZ 85016-7710
Phone (602) 546-0486
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504309 | Medicaid | AZ |
Other providers in Phoenix, AZ
- Adelante Healthcare, Inc.
- Adelante Healthcare, Inc.
- Adelante Speech Therapy
- Olufunmilola G Adeleye
- Brian Adelman
- Philip David Adelson
- Marian Abukar Aden
- Osman Aden
- Oluwatoyosi Mary Adeoye
- Oluwatoni Aderoju
All providers in Phoenix, AZ · Pediatric Nephrology 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 9, 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.