DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NURUL ITQIYAH HARIADI, MD

Active

Pediatrics · MARICOPA, AZ

Registration Details

NPI Number
1881875037
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2007 (18.492612677495 yrs)
Last Updated
Jul 22, 2016
License
4301090456 (MI)

Practice Information

Address
17900 N PORTER RD
MARICOPA, AZ, 851384228
Browse AZ providers · Browse ZIP 85138
Phone
5202332500
Fax
5202332574
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in MARICOPA, AZ

Name Credential NPI
DR. JAMES MICHAEL UNDERWOOD D.O. 1558365957
CARRIE ANN LIPP MD 1588777197
DR. DAWN MEDLER SORENSON M.D., M.P.H 1821246091
DAVID LAR MD 1962636845
DR. RACHEL SINGER M.D 1417309360
DR. MARIE CHRISTIANNE SANDHYA RAVI CHANDAR MD 1386130060
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.