Healthcare Provider Details

I. General information

NPI: 1962997452
Provider Name (Legal Business Name): RB MED SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 06/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14815 N DEL WEBB BLVD
SUN CITY AZ
85351-2145
US

IV. Provider business mailing address

14815 N DEL WEBB BLVD
SUN CITY AZ
85351-2145
US

V. Phone/Fax

Practice location:
  • Phone: 623-977-3300
  • Fax: 623-977-6808
Mailing address:
  • Phone: 602-377-9124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number40434
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number40434
License Number StateAZ

VIII. Authorized Official

Name: MRS. RISHIKA BASAPPA
Title or Position: PHYSICIAN
Credential: MD
Phone: 623-977-3300