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Individual

DR. KAMAL R. RASTOGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1925 W ORANGE GROVE RD SUITE 200, TUCSON, AZ 85704
(520) 544-5556
(520) 544-5619
Mailing address
1925 W ORANGE GROVE RD SUITE 200, TUCSON, AZ 85704
(520) 544-5556
(520) 544-5619

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
33164
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33164
STATE MEDICAL LICENSE #
AZ
01
888323
PROVIDER # FOR AHCCCS
AZ
Enumeration date
10/09/2005
Last updated
03/07/2023
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