Udupa, Tharesh

Udupa, Tharesh is an individual health care provider with primary practice located at 10494 W Thunderbird Blvd Ste 100 , Sun City AZ 85351-3058. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Udupa, Tharesh can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
10494 W Thunderbird Blvd Ste 100 Sun City AZ 85351-3058
Fax: (866) 939-2673
Website:

Profile Details

NPI number 1275537607
LBN Legal business name Udupa, Tharesh
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 23rd, 2024 - about 8 months 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 1275537607 NPPES
Arizona MEDICAID 842171

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