OrganizationActive
Maricopa Podiatry Corporation
NPI 1649456229 · Foot Surgery Podiatrist · Surprise, AZ
Provider details
- NPI number
- 1649456229
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Tharesh Udupa, Owner(623) 214-3335
- License
- 0599 (AZ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
12361 W Bola Dr
Suite 100
Surprise, AZ 85378-9021
Phone: (623) 214-3335
Fax: (623) 214-3956
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9350
Surprise, AZ 85374-0139
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2014-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.