Provider Demographics
NPI:1598095226
Name:GULATI, RAJBIR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJBIR
Middle Name:
Last Name:GULATI
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 1:12665 W SMOKEY DR # 140
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-3703
Mailing Address - Country:US
Mailing Address - Phone:623-219-4040
Mailing Address - Fax:623-219-4050
Practice Address - Street 1:12665 W SMOKEY DR # 140
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-3703
Practice Address - Country:US
Practice Address - Phone:623-219-4040
Practice Address - Fax:623-219-4050
Is Sole Proprietor?:No
Enumeration Date:2009-12-31
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125053118207R00000X
AZ48972207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine