Provider Demographics
NPI:1831133172
Name:RAJEEV S. KATHURIA MD PC
Entity Type:Organization
Organization Name:RAJEEV S. KATHURIA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:S
Authorized Official - Last Name:KATHURIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-661-0700
Mailing Address - Street 1:8402 E SHEA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6635
Mailing Address - Country:US
Mailing Address - Phone:480-661-0700
Mailing Address - Fax:
Practice Address - Street 1:8402 E SHEA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6635
Practice Address - Country:US
Practice Address - Phone:480-661-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ103979Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER