MARICOPA PODIATRY CORPORATION NPI 1649456229

NPI Information

  • NPI: 1649456229
  • Provider Name: MARICOPA PODIATRY CORPORATION
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Address: 12361 W BOLA DR
    SUITE 100
    SURPRISE, AZ
    ZIP 85378
  • Phone: (623) 214-3335

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NPI Details

MARICOPA PODIATRY CORPORATION is a foot surgery podiatrist in Surprise, AZ. MARICOPA PODIATRY CORPORATION NPI is 1649456229. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12361 W BOLA DR
SUITE 100
SURPRISE, AZ
ZIP 85378-021
Phone: (623) 214-3335
Fax: (623) 214-3956

The provider's authorized official is Tharesh Udupa .
The authorized official title is Owner and has the following contact phone number (623) 214-3335.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 9/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot Surgery0599ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1842171MEDICAIDARIZONA
2U88958MEDICARE UPINARIZONA
3104693MEDICARE OSCAR/CERTIFICATIONARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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