Terkonda, Raj P

Terkonda, Raj P is an sole proprietor health care provider with primary practice located at 1111 E Mcdowell Rd , Phoenix AZ 85006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Terkonda, Raj P can be contacted via phone (602) 839-2000.

Contact Information

Primary practice address
1111 E Mcdowell Rd Phoenix AZ 85006
Phone: (602) 839-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X G81638 California

Profile Details

NPI number 1639176803
LBN Legal business name Terkonda, Raj P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2005
Last updated Jan 10th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639176803 NPPES
Colorado MEDICAID 47152583

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