Praveena R Kothur in Glendale - Allergy & Immunology
Praveena R Kothur - NPI 1114973179
Praveena R Kothur is a Allergy & Immunology in Glendale, Arizona. Praveena R Kothur practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Praveena R Kothur is 1114973179. The last update date is 2020-01-03.
Praveena R Kothur's current location address is Po Box 5148, Glendale, Arizona. You can contact this provider via phone number 6025480981 and fax number 6022989799. The mailing address for Praveena R Kothur is Po Box 5148, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Praveena R Kothur |
|---|---|
| Address | Po Box 5148, Glendale, Arizona |
| Phone Number | 6025480981 |
| Fax Number | 6022989799 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114973179 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2020-01-03 |
Provider Mailing Address Detail
| Address | Po Box 5148 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853125148 |
| Phone Number | 6025480981 |
| Fax Number | 6022989799 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207Ra0201X |
| Licence No | AZ30666 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Speci |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 792053 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Praveena R Kothur by the Centers for Medicare & Medicaid Services?
The Praveena R Kothur has been assigned the NPI (National Provider Identifier) 1114973179 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Praveena R Kothur?
The Praveena R Kothur is situated at Po Box 5148, in the city of Glendale, state of AZ, with the zip code 853125148.
What is Praveena R Kothur's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Praveena R Kothur is Allergy & Immunology, and the taxonomy classification code that categorizes this area of expertise is 207Ra0201X.
On what date did the Praveena R Kothur receive its 1114973179 assignment from the Centers for Medicare & Medicaid Services?
The Praveena R Kothur was assigned its 1114973179 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date was the information pertaining to Praveena R Kothur, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Praveena R Kothur, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-03.