Madugonde, Nagaraj C

Madugonde, Nagaraj C is an individual health care provider with primary practice located at 5555 W Thunderbird Rd , Glendale AZ 85306-4622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Madugonde, Nagaraj C can be contacted via phone (602) 865-5555.

Contact Information

Primary practice address
5555 W Thunderbird Rd Glendale AZ 85306-4622
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42993 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 42993 Arizona

Profile Details

NPI number 1386838530
LBN Legal business name Madugonde, Nagaraj C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386838530 NPPES
Arizona MEDICAID 504278

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