Organization
ALLERY AND ASTHMA CENTER OF ARIZONA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAO RAJ KOSARAJU MD (OWNER)
(480) 855-0664
Entity
Organization
Contact information
Practice address
633 E RAY RD, 101, GILBERT, AZ 85296-4200
(480) 855-0664
(480) 222-4684
Mailing address
633 E RAY RD, 101, GILBERT, AZ 85296-4200
(480) 855-0664
(480) 222-4684
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
43123
AZ
Other
Enumeration date
06/26/2010
Last updated
10/21/2010
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