Healthcare Provider Details

I. General information

NPI: 1578656005
Provider Name (Legal Business Name): JOSHUA T RIFKIND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: N/A N/A M.D.

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 W BEVERLY LN
GLENDALE AZ
85306-1800
US

IV. Provider business mailing address

1193 HOUSTON MILL RD NE
ATLANTA GA
30329-3829
US

V. Phone/Fax

Practice location:
  • Phone: 623-312-3000
  • Fax: 623-312-3060
Mailing address:
  • Phone: 602-812-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number54506
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number98477
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: