Praveena R Kothur
Allergist & Immunologist Internist - Allergy & Immunology
5757 W Thunderbird Rd Ste W205
Glendale
, Arizona 85306-5608
Praveena R Kothur
Allergist & Immunologist Internist - Allergy & Immunology
5757 W Thunderbird Rd Ste W205
Glendale
, Arizona 85306-5608
(602) 298-9799
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About
Features
Specialties
- Allergist & Immunologist
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Praveena R Kothur
- Po Box 5148
- Glendale, AZ
- Zip : 85312-5148
- Fax : (602) 298-9799
- Phone : (602) 548-0981
Second Address
- Praveena R Kothur
- 5757 W Thunderbird Rd Ste W205
- Glendale, AZ
- Zip : 85306-5608
- Fax : (602) 298-9799
- Phone : (602) 548-0981
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FAQs
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Is Praveena R Kothur a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 30666 | AZ |
| Y | 207RA0201X | Internist - Allergy & Immunology | AZ30666 | AZ |
National Provider Identifier
| NPI | 1114973179 |
|---|---|
| Provider Name | Praveena R Kothur |
| First Address | Glendale, AZ 85312-5148 |
| Second Address | Glendale, AZ 85306-5608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 03/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 792053 | (05) | AZ |
| F92368 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.