Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Kenneth Requard, MD

Individual provider Diagnostic Radiology Physician · NPI 1851315519

Dr. Charles Kenneth Requard, MD is a Diagnostic Radiology in Tucson, Arizona. Qualified in 1976, 50 years ago. Practices with Radiology and Imaging Specialists of Lakeland, a 70-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
50
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5515 E 5th St C/o Arizona Community Physicians
Tucson, AZ 85711-2415
Phone: (520) 298-1138
Fax: (520) 547-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 13725 (AZ)

Record details

NPI number1851315519
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESDecember 30, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Radiology And Imaging Specialists Of Lakeland — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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