Basic Information
Provider Information
NPI: 1467738161
EntityType: 2
ReplacementNPI:  
OrganizationName: RM MEDICS LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6400 E JACKRABBIT RD
Address2:  
City: PARADISE VALLEY
State: AZ
PostalCode: 852536933
CountryCode: US
TelephoneNumber: 6024396780
FaxNumber:  
Practice Location
Address1: 6400 E JACKRABBIT RD
Address2:  
City: PARADISE VALLEY
State: AZ
PostalCode: 852536933
CountryCode: US
TelephoneNumber: 6024396780
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/25/2011
LastUpdateDate: 01/16/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RAJA
AuthorizedOfficialFirstName: RUBINA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: MANAGER
AuthorizedOfficialTelephone: 6024396780
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home