MEDICARE: HENRY LUEDY M.D.

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	207RP1001X	Pulmonary Disease Physician	41100	AZ
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	41100	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285846642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY LUEDY M.D.

Provider Business Mailing Address
First Line	:	4580 W DUBLIN ST
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-2028
Country	:	US
Telephone Number	:	480-993-4279
Fax Number	:

Provider Business Practice Location Address
First Line	:	9130 E ELLIOT RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-9675
Country	:	US
Telephone Number	:	480-993-4279
Fax Number	:

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

Provider Enumeration Date	:	05/05/2007
Last Update Date	:	09/06/2025

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