Provider Demographics
NPI:1679604524
Name:SADHU, RITU (MD)
Entity type:Individual
Prefix:DR
First Name:RITU
Middle Name:
Last Name:SADHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 W UNION HILLS DR STE 2800B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-1380
Mailing Address - Country:US
Mailing Address - Phone:623-322-4991
Mailing Address - Fax:623-322-9568
Practice Address - Street 1:6320 W UNION HILLS DR STE 2800B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1380
Practice Address - Country:US
Practice Address - Phone:623-322-4991
Practice Address - Fax:623-322-9568
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2784207QA0000X
AZ38178207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine