MEDICARE: J EDWARD BERNARDO MADDELA 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	207Q00000X	Family Medicine Physician	43301	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	:	1023292869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	J EDWARD BERNARDO MADDELA MD

Provider Business Mailing Address
First Line	:	2702 NORTH 3RD STREET
Second Line	:	SUITE 4020
City	:	PHOENIX
State	:	AZ
Zip	:	85004-4608
Country	:	US
Telephone Number	:	602-323-3344
Fax Number	:	602-323-3496

Provider Business Practice Location Address
First Line	:	1492 SOUTH MILL AVENUE
Second Line	:	SUITE 312
City	:	TEMPE
State	:	AZ
Zip	:	85281-5676
Country	:	US
Telephone Number	:	602-243-7277
Fax Number	:	480-927-1092

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

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/21/2011

Similar Medicare Providers

1386643567 — DR. DAVID B MENDELSON DO
Practice Location Address:

1492 S MILL AVE STE 301
TEMPE, AZ
85281-5676

Practice Phone: 480-894-5550
Practice Fax: 480-894-9469

1134113897 — DR. EDWARD TAXIN DO
Practice Location Address:

1492 SOUTH MILL AVENUE , SUITE 312
TEMPE, AZ
85281-5676

Practice Phone: 602-243-7277
Practice Fax: 480-927-1092

1528035508 — DR. SUSAN F SANDMANN-UY MD
Practice Location Address:

1492 SOUTH MILL AVENUE , SUITE 312
TEMPE, AZ
85281-5676

Practice Phone: 602-243-7277
Practice Fax: 480-927-1092

1932268752 — DR. RACHEL K SY DO
Practice Location Address:

1492 SOUTH MILL AVENUE , SUITE 312
TEMPE, AZ
85281-5676

Practice Phone: 602-243-7277
Practice Fax: 480-927-1092

1407024912 — MS. JULIE E. SAPIENZA LCSW
Practice Location Address:

1492 S MILL AVE STE 312
TEMPE, AZ
85281-5676

Practice Phone: 602-243-7277
Practice Fax: 480-927-1092

1083885008 — JILL MARIE JUVAN M.S., CCC-A
Practice Location Address:

1492 S MILL AVE STE 301
TEMPE, AZ
85281-5676

Practice Phone: 602-956-1250
Practice Fax: 623-321-8620

Directions to “ J EDWARD BERNARDO MADDELA 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 © 2007-2026 (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.