NPI 1023292869

J Edward Bernardo Maddela, MD

Practitioner Family Medicine Physician Tempe, AZ

Practice location

Address: 1492 South Mill Avenue Suite 312, Tempe, AZ 85281-5676
Phone: (602) 243-7277
Fax: (480) 927-1092
Mailing address: 2702 North 3rd Street Suite 4020, Phoenix, AZ 85004-4608

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 43301 (AZ)

Other Family Medicine providers in Arizona →

Registry record

NPI: 1023292869
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2007
Record last updated: 21 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.