Individual
DR. CHEVON M RARIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD STE 120, SURPRISE, AZ 85374-7280
(623) 215-9460
(623) 282-3576
Mailing address
CANCER TREATMENT CENTERS OF AMERICA, 2361 PAYSPHERE CIRCLE, CHICAGO, IL 60674
(800) 322-9183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD440962
PA
207R00000X
Internal Medicine Physician
MT193443
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036.150497
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841452406
NPI
—
01
—
59284
MEDICAL LICENSE
AZ
01
—
TPME6276
TELEHEALTH REGISTRATION NUMBER
FL
Enumeration date
06/25/2008
Last updated
03/07/2024
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