MEDICARE: RODD AKING MD LLC

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	2084P0800X	Psychiatry Physician
2	207R00000X	Internal Medicine Physician

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
2	L-1286974-7	OTHER	AZ	CORPORATION/LLC NUMBER

General Provider Information

NPI Number	:	1942212345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODD AKING MD LLC

Provider Business Mailing Address
First Line	:	PO BOX 12170
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85318-2170
Country	:	US
Telephone Number	:	623-873-0112
Fax Number	:	623-873-1370

Provider Business Practice Location Address
First Line	:	10320 W MCDOWELL RD STE L
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85392-4863
Country	:	US
Telephone Number	:	623-873-0112
Fax Number	:	623-873-1370

Authorized Official
Title or Position	:	OWNER
Name	:	RODD AKING
Credential	:	MD
Telephone Number	:	623-873-0112

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	11/21/2025

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Directions to “RODD AKING MD LLC ” Practice Location

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