Raj P Terkonda
Facial Plastic Surgeon
1111 E Mcdowell Rd
Phoenix
, Arizona 85006
Raj P Terkonda
Facial Plastic Surgeon
1111 E Mcdowell Rd
Phoenix
, Arizona 85006
(720) 543-7771
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Raj P Terkonda
- 3827 E Morning Dove Trl
- Phoenix, AZ
- Zip : 85050-5467
- Fax : (720) 543-7771
- Phone : (720) 530-1180
Second Address
- Raj P Terkonda
- 1111 E Mcdowell Rd
- Phoenix, AZ
- Zip : 85006
- Phone : (602) 839-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | G81638 | CA |
National Provider Identifier
| NPI | 1639176803 |
|---|---|
| Provider Name | Raj P Terkonda |
| First Address | Phoenix, AZ 85050-5467 |
| Second Address | Phoenix, AZ 85006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2005 |
| Last Update Date | 10/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 47152583 | (05) | CO |
| G17309 | (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.