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Individual

DR. ANUJ PRAKASH DAFTARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3591 S MERCY RD STE 101, GILBERT, AZ 85297-1192
(866) 974-2673
Mailing address
18444 N 25TH AVE, 310, PHOENIX, AZ 85023-1266
(623) 537-5600

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
46176
AZ
208100000X
Physical Medicine & Rehabilitation Physician
A121158
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
46176
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A121158
CA
208VP0000X
Pain Medicine Physician
46176
AZ
208VP0000X
Pain Medicine Physician
A121158
CA
208VP0014X
Interventional Pain Medicine Physician
46176
AZ
208VP0014X
Interventional Pain Medicine Physician
A121158
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
866833
AZ
Enumeration date
04/02/2009
Last updated
08/12/2025
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