Individual
RAJ KISHORE MULPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18731 N REEMS RD, #680, SURPRISE, AZ 85374
(623) 975-0592
(623) 675-0750
Mailing address
13634 N 93RD AVE, #100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
32853
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874455
—
AZ
05
—
874455-01
—
AZ
Enumeration date
10/11/2005
Last updated
03/07/2023
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