Individual
DEVEN S GUJRATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2680 S AVENUE B, YUMA, AZ 85364
(928) 336-1476
(928) 336-9622
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29849
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154325876
NPI
AZ
01
—
Z71626
PTAN
AZ
Enumeration date
06/09/2005
Last updated
12/09/2024
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