Provider Demographics
NPI:1821086877
Name:LUTHRA, ADARSH (MD)
Entity Type:Individual
Prefix:DR
First Name:ADARSH
Middle Name:
Last Name:LUTHRA
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 1:2325 S AVENUE A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8316
Mailing Address - Country:US
Mailing Address - Phone:928-782-4319
Mailing Address - Fax:928-782-1632
Practice Address - Street 1:2325 S AVENUE A
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8316
Practice Address - Country:US
Practice Address - Phone:928-782-4319
Practice Address - Fax:928-782-1632
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10415207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ223355-002Medicaid
AZC99910Medicare UPIN
AZZ104891Medicare PIN