Rajiv Jetly in Prescott - Internal Medicine

Rajiv Jetly - NPI 1861494247

Rajiv Jetly is a Internal Medicine in Prescott, Arizona. Rajiv Jetly practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Rajiv Jetly is 1861494247. The last update date is 2017-05-11.

Rajiv Jetly's current location address is Po Box 1629, Prescott, Arizona. You can contact this provider via phone number 9287723340 and fax number 9287599611. The mailing address for Rajiv Jetly is Po Box 1629, Prescott, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Rajiv Jetly
Address Po Box 1629, Prescott, Arizona
Phone Number 9287723340
Fax Number 9287599611
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1861494247
Provider Enumeration Date 2005-08-15
Last Updated Date 2017-05-11

Provider Mailing Address Detail

Address Po Box 1629
City Prescott
State Arizona (AZ)
Post Code 863021629
Phone Number 9287723340
Fax Number 9287599611

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 29064
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
555724 AZ --
AZ0887390 AZ BLUE CROSS BLUE SHIELD

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FAQs about Rajiv Jetly

What is the Rajiv Jetly's unique identification number?

The Rajiv Jetly has been assigned the NPI (National Provider Identifier) Number 1861494247 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Rajiv Jetly is geographically located?

The Rajiv Jetly is physically situated at the following location: Po Box 1629, Prescott, AZ, 863021629.

What is the Rajiv Jetly's area of specialization and corresponding taxonomy classification?

The Rajiv Jetly's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Rajiv Jetly receive its 1861494247 assignment from the Centers for Medicare & Medicaid Services?

The Rajiv Jetly was assigned its 1861494247 by the Centers for Medicare & Medicaid Services on 2005-08-15.

When was the information regarding Rajiv Jetly most recently updated?

The details pertaining to the Rajiv Jetly, including its address, specialty, and other relevant information, were last refreshed on 2017-05-11.

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