Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn L Nudelman, MD

Individual provider Specialist · NPI 1346242427

Glenn L Nudelman, MD is a Specialist in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
Specialties on file
3
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

2191 Chip Dr
Lake Havasu City, AZ 86406-7645
Phone: (928) 486-4387
Fax: (928) 302-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 14122 (AZ)
Specialist Taxonomy 174400000X · Licence 14122 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence AN14122 (AZ)

Record details

NPI number1346242427
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESJuly 29, 2022
Certification dateJuly 26, 2022

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