Individual
RAJENDRA CHALASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13657 W MCDOWELL RD, SUITE 210, GOODYEAR, AZ 85395
(623) 536-1185
(623) 536-1091
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37253
AZ
207RH0005X
Hypertension Specialist Physician
65347
GA
207RN0300X
Nephrology Physician
Primary
37253
AZ
207RN0300X
Nephrology Physician
65347
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241625
—
AZ
Enumeration date
07/25/2007
Last updated
06/27/2018
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