Provider Demographics
NPI:1699710152
Name:RIORDAN, LINDA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LEE
Last Name:RIORDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3761 E SUMO OCTAVO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6042
Mailing Address - Country:US
Mailing Address - Phone:520-820-4166
Mailing Address - Fax:
Practice Address - Street 1:3761 E SUMO OCTAVO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6042
Practice Address - Country:US
Practice Address - Phone:520-820-4166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2019-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21743208M00000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ146458Medicaid
AZ146458Medicaid
AZZ63607Medicare PIN