Purush, Ajith
Purush, Ajith is an individual health care provider with primary practice located at 722 N Montezuma St , Prescott AZ 86301-2002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Purush, Ajith can be contacted via phone (928) 237-9000.Contact Information
Primary practice address
722 N Montezuma St
Prescott AZ 86301-2002
Phone: (928) 237-9000
Fax: (928) 237-9011
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33680 | Arizona |
Profile Details
NPI number | 1699761437 |
---|---|
LBN Legal business name | Purush, Ajith |
Credentials | MBBS, MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2005 |
Last updated | Jan 28th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699761437 | NPPES |
Arizona | Other | 101416 | MEDICARE ID |
Arizona | Other | P00217872 | MEDICARE ID |
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