Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | AZ24825 | AZ |
Y | 207R00000X | Internist | G77797 | CA |
Y | 111NI0900X | Internist | G77797 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | AZ24825 | AZ |
N | 207RG0300X | Geriatric Medicine | AZ24825 | AZ |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | AZ24825 | AZ |
NPI | 1063478188 |
---|---|
Provider Name | Dr. Attila Mady |
First Address | Blaine, WA 98231-2782 |
Second Address | Globe, AZ 85501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 22/10/2019 |