Provider Demographics
NPI:1467656058
Name:ANAPARTHY, RAJESWARI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJESWARI
Middle Name:
Last Name:ANAPARTHY
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 1:3400 N DYSART RD STE G127
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-1011
Mailing Address - Country:US
Mailing Address - Phone:623-322-0323
Mailing Address - Fax:623-322-0757
Practice Address - Street 1:3400 N DYSART RD STE G127
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-1011
Practice Address - Country:US
Practice Address - Phone:623-695-4064
Practice Address - Fax:623-322-0757
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ53298207RG0100X
TXBP1-0026431207R00000X
MN104320207R00000X
MN51846207R00000X
KS9407439207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-36695OtherMEDICAL LICENSE
MNP00839005OtherRAILROAD MEDICARE
3853092616OtherMYUTMB 3853092616-COMMERCIAL NUMBER
AZ270848Medicaid
AZ270848Medicaid