Individual
DR. AJITH PURUSH
Active
Individual
DR. AJITH PURUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33680
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101416
MEDICARE ID
AZ
01
—
P00217872
RR MEDICARE
—
Enumeration date
09/27/2005
Last updated
01/28/2015
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