Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RODOLFO C NELLAS, MD
Active Sole ProprietorSpecialist · GLENDALE, AZ
Registration Details
- NPI Number
- 1609868611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2005 (20.708057372171 yrs)
- Last Updated
- Oct 18, 2017
- License
-
12395 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17505 N 79TH AVE STE 201GLENDALE, AZ, 85308Browse AZ providers · Browse ZIP 85308
- Phone
- 6232369295
- Fax
- 6232368819
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. MARLIN LEE DIMOND | M.D. | 1194795229 |
| DR. ENRIQUE ARTURO VALDIVIA | M.D. | 1679504054 |
| DR. AMOL NANAK RAKKAR | M.D. | 1336160241 |
| DAWN A HOFFMAN | — | 1528193729 |
| MICHELLE M SINDORF II | — | 1902941438 |
| KELLI M SULLIVAN IX | — | 1609911148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.