Individual
HOSAHALLY NAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
187428
NY
207L00000X
Anesthesiology Physician
64842
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000410983001
BSNENY
NY
05
—
01269772
—
NY
01
—
05277
MVP
NY
01
—
10001449
CDPHP
NY
01
—
12G281
EMPIRE BS
NY
01
—
187428-8CAN
WC
NY
01
—
2600296
GHI
NY
01
—
5765306
AETNA
NY
Enumeration date
08/25/2006
Last updated
01/03/2025
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