Samuel G Ruchman, MD
Internal Medicine in Tuba City, AZ. Individual provider (NPI-1).
NPI number1851978555
StatusActive
Last updated in NPPESOct 10, 2025
Details
- NPI
- 1851978555
- Entity type
- Individual (NPI-1)
- Name
- Samuel G Ruchman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2021
- Certification date
- Oct 10, 2025
- Last updated
- Oct 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 76799 | AZ | Yes |
| 208000000X | Pediatrics | 76799 | AZ |
Practice location
167 N Main StreetTuba City, AZ 86045-0600
Phone 866-976-5941
Mailing address
Po Box 600Tuba City, AZ 86045-0600
Phone 928-283-2501
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