Provider Demographics
NPI:1780381236
Name:SCOTTSDALE HOSPITALISTS PLC
Entity type:Organization
Organization Name:SCOTTSDALE HOSPITALISTS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NAGARAJ
Authorized Official - Middle Name:C
Authorized Official - Last Name:MADUGONDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-699-5676
Mailing Address - Street 1:8175 E EVANS RD UNIT 12395
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-4836
Mailing Address - Country:US
Mailing Address - Phone:928-699-5676
Mailing Address - Fax:
Practice Address - Street 1:9003 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6709
Practice Address - Country:US
Practice Address - Phone:928-699-5676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty