Individual
RAJIV KWATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N 7TH ST, SUITE 290, PHOENIX, AZ 85006-2754
(602) 230-6744
(602) 230-6746
Mailing address
1331 N 7TH ST, SUITE 290, PHOENIX, AZ 85006-2754
(602) 230-6744
(602) 230-6746
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25383
AZ
207N00000X
Dermatology Physician
25383
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
25383
AZ
Other
Enumeration date
08/19/2006
Last updated
09/20/2024
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