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

Individual provider Pediatrics Physician · NPI 1881875037

Nurul Itqiyah Hariadi, MD is a Pediatrics Physician in Maricopa, Arizona. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone: (520) 233-2500
Fax: (520) 233-2574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301090456 (MI)

Record details

NPI number1881875037
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2007
Last updated in NPPESJuly 22, 2016

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