MALAR KUPPAN (NPI# 1295216190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295216190 |
| Entity Type | Individual |
| Full Name | MALAR KUPPAN |
| Credential | NP |
| Practice Address |
12610 N 58th Ave Glendale AZ 85304-1891 |
| Practice Telephone | 6232615258 |
| Mailing Telephone | 6232615258 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP11701 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12610 N 58TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841847548 | Donald Michael Anzalone | Nurse Practitioner | 6396 W Pontiac Dr, Glendale, AZ 85308-6668 | 2019-08-19 |
| 1013471309 | Anthony James Shaw | Nurse Practitioner | 7190 W Fleetwood Ln, Glendale, AZ 85303-7606 | 2019-01-30 |
| 1033638168 | Lauralie Johnson | Nurse Practitioner | 710 S Central Ave Ste 100, Glendale, CA 91204-4613 | 2017-09-09 |
| 1093111387 | James Simmons | Nurse Practitioner | 419 Roads End St, Glendale, CA 91205-3331 | 2014-11-13 |
| 1265861397 | Ronnell Regidor | Nurse Practitioner | 435 Arden Ave Ste 310, Glendale, CA 91203-4014 | 2013-11-08 |
| 1750844759 | Lesly Ghiglino Duetsch | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2019-04-08 |
| 1750866422 | Elizabeth Terzyan | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-09-28 |
| 1639653793 | Virginia Zambroski | Nurse Practitioner | 655 N Central Ave, Glendale, CA 91203-1422 | 2018-09-24 |
| 1083193478 | Katrin Minasian | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-08-07 |
| 1659859510 | Liana Baghumyan | Nurse Practitioner | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2018-08-02 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.