MEDICARE: GARY A PODOLNY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	35209	AZ
2	2085U0001X	Diagnostic Ultrasound Physician	35209	AZ
3	2085B0100X	Body Imaging Physician	35209	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	CS7943	OTHER	AZ	GROUP MEDICARE RAILROAD ID & PTAN
6	ZWCBBM	OTHER	AZ	GROUP MEDICARE ID
7	P00358695	OTHER	AZ	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1003812272	OTHER	AZ	PHYSICIAN INDIVIDUAL NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1841261989	OTHER	AZ	GROUP NPI

General Provider Information

NPI Number	:	1003812272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY A PODOLNY MD

Provider Business Mailing Address
First Line	:	13305 E SADDLEROCK RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-9296
Country	:	US
Telephone Number	:	520-749-3468
Fax Number	:

Provider Business Practice Location Address
First Line	:	13305 E SADDLEROCK RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-9296
Country	:	US
Telephone Number	:	520-749-3468
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	04/25/2013

Similar Medicare Providers

1639173990 — DR. ARNOLD JAMES VALERIUS PHD, RN, FNP-BC
Practice Location Address:

8920 E TANQUE VERDE RD
TUCSON, AZ
85749-9604

Practice Phone: 520-760-9188
Practice Fax:

1457357212 — DR. JONATHAN ALAN OSTROWSKI M.D.
Practice Location Address:

8987 E TANQUE VERDE RD , STE 309-356
TUCSON, AZ
85749-9610

Practice Phone: 520-795-8510
Practice Fax: 520-795-9214

1518941665 — DR. MICHAEL J CONNOLLY D.O.
Practice Location Address:

8826 E TANQUE VERDE RD
TUCSON, AZ
85749-9607

Practice Phone: 520-760-8972
Practice Fax: 520-760-3417

1801872643 — JAMES H REIFSCHNEIDER MD
Practice Location Address:

8826 E TANQUE VERDE RD
TUCSON, AZ
85749-9607

Practice Phone: 520-760-8972
Practice Fax: 520-760-3417

1770562266 — DR. LYNN M. STRUTHERS MD
Practice Location Address:

8826 E TANQUE VERDE RD.
TUCSON, AZ
85749

Practice Phone: 520-760-8972
Practice Fax: 520-760-3417

1073592499 — PATRICE M BUSCH FNP
Practice Location Address:

8826 E TANQUE VERDE RD
TUCSON, AZ
85749-9607

Practice Phone: 520-760-8972
Practice Fax: 520-760-3417

Directions to “ GARY A PODOLNY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.