MR. RODOLFO C NELLAS MD
NPI 1609868611
Specialist in Glendale, AZ

Q: What is Rodolfo Nellas's NPI number?

The NPI number for Rodolfo Nellas is 1609868611. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is Rodolfo Nellas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Rodolfo Nellas was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2005

18301 N. 79TH AVE, F170, GLENDALE, AZ 85308(623) 236-9295(623) 236-9295 Get Directions Write a Review

NPPES record last updated: October 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Rodolfo C Nellas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RODOLFO C NELLAS MD (NPI 1609868611) is an individual specialist in Glendale, Arizona, licensed in Arizona (12395) and active in the NPI registry since August 2005. He maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1609868611

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. RODOLFO C NELLASCredential: MD

Location Address18301 N. 79TH AVE, F170Glendale, AZ 85308

Mailing Address17505 N 79th Ave Ste 201Glendale, AZ 85308 · (623) 236-9295 · Fax (623) 236-8819

Phone(623) 236-9295

Fax(623) 236-9295

Sole ProprietorYes

Enumeration DateAugust 16, 2005

Last NPPES UpdateOctober 18, 2017

✔ NPI 1609868611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 12395

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

18301 N. 79TH AVE, Glendale, AZ 85308

Open in Google Maps ↗

Secondary Practice Location 1

Location 118301 N. 79th Ave, F170Glendale, AZ 85308 · Phone (623) 236-9295 · Fax (623) 236-9295

Other Identifiers 3

Medicare UPINE22507AZ

Other04304AZ · Blue Cross Blue Shield-az

Medicare ID-Type Unspecified277585AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodolfo Nellas's NPI number?

The NPI number for Rodolfo Nellas is 1609868611. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Rodolfo Nellas located?

Rodolfo Nellas practices at 18301 N. 79th Ave F170, Glendale, AZ 85308. The listed phone number is (623) 236-9295.

What is Rodolfo Nellas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Rodolfo Nellas was last updated on October 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.