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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740702984

Supriya Pradhan, MD is an Internal Medicine in Tempe, Arizona. Qualified in 2014, 12 years ago. Practices with Mountain Park Health Center, a 121-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2017
Specialties on file
2
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

1840 E Broadway Rd
Tempe, AZ 85282-1614
Phone: (602) 243-7277
Fax: (480) 927-1092
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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 62859 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740702984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021
Mailing address3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mountain Park Health Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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