Hariadi, Nurul Itqiyah
Hariadi, Nurul Itqiyah is an individual health care provider with primary practice located at 17900 N Porter Rd , Maricopa AZ 85138-4228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hariadi, Nurul Itqiyah can be contacted via phone (520) 233-2500.Contact Information
Primary practice address
17900 N Porter Rd
Maricopa AZ 85138-4228
Phone: (520) 233-2500
Fax: (520) 233-2574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301090456 | Michigan |
Profile Details
| NPI number | 1881875037 |
|---|---|
| LBN Legal business name | Hariadi, Nurul Itqiyah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Jul 22nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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