Basic Information
Provider Information
NPI: 1902885593
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RATHEE
FirstName: RAJ
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1661 E CAMELBACK RD
Address2: SUITE 205
City: PHOENIX
State: AZ
PostalCode: 850163911
CountryCode: US
TelephoneNumber: 6024229012
FaxNumber:  
Practice Location
Address1: 10240 W INDIAN SCHOOL RD
Address2: BUILDING 2 STE 140
City: PHOENIX
State: AZ
PostalCode: 850375904
CountryCode: US
TelephoneNumber: 6238467558
FaxNumber: 6238461674
Other Information
ProviderEnumerationDate: 01/11/2006
LastUpdateDate: 04/10/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X33748AZY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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