RAJ P TERKONDA (NPI# 1639176803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639176803 |
| Entity Type | Individual |
| Full Name | RAJ P TERKONDA |
| Credential | MD |
| Practice Address |
1111 E Mcdowell Rd Phoenix AZ 85006 |
| Mailing Address |
3827 E Morning Dove Trl Phoenix AZ 85050-5467 |
| Practice Telephone | 6028392000 |
| Mailing Telephone | 7205301180 |
| Mailing Fax Number | 7205437771 |
| Enumeration Date | 2005-07-03 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
G81638 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 47152583 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7259 S Bingham Junction Blvd, Midvale, UT 840474860 | 8445518047 |
| Street Address |
1111 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334785 | Todd Brian Taylor | Emergency Medicine | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2005-05-30 |
| 1912507609 | Kelsey Arndt | Dietitian, Registered | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-30 |
| 1518567403 | Emily Truex | Nurse Practitioner | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-29 |
| 1306445002 | Sina Lee Heller | Registered Nurse | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-10-22 |
| 1215549985 | Aishwarya Puri | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-08-23 |
| 1437761038 | Lee Daniel Reeves-blurton | Registered Nurse | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-08-17 |
| 1295358414 | Shaida Omid | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-05-21 |
| 1831712157 | Hija Mae Bautista | Nurse Practitioner | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-05-20 |
| 1164042206 | Arati Babaria Pandya | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-18 |
| 1275153595 | Chirag Vinay Kapadia | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720067390 | Brian Scott Rizzo | Otolaryngology | 16841 N 31st Ave Bldg 2, Phoenix, AZ 85053-3029 | 2006-01-12 |
| 1811555014 | Pinnacle Ent & Allergy Consultants LLC | Otolaryngology | 16841 N 31st Ave Bldg 2, Phoenix, AZ 85053-3029 | 2019-06-03 |
| 1194997262 | Traikovich Cosmetic Surgery, P.C. | Otolaryngology | 19636 N 27th Ave, Ste 206, Phoenix, AZ 85027-4015 | 2008-03-29 |
| 1912944042 | James William Osborne | Otolaryngology | 3201 W Peoria Ave, Suite D704, Phoenix, AZ 85029-4608 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982961850 | Bryan David Friedman | Otolaryngology | 7600 E Camelback Rd Ste 7, Scottsdale, AZ 85251-2106 | 2012-04-17 |
| 1790087955 | Paul Blumberg | Otolaryngology | 10135 E Wethersfield Rd, Scottsdale, AZ 85260-5132 | 2010-11-21 |
| 1326219262 | David Hohuan | Otolaryngology | 2270 S Ridgeview Dr Ste 128, Yuma, AZ 85364-8875 | 2008-03-19 |
| 1750583951 | Ray Jonathan Lara | Otolaryngology | 6340 N Campbell Ave, 256, Tucson, AZ 85718-3179 | 2007-06-01 |
| 1871715656 | Veena Kumar LLC | Otolaryngology | 1065 E Oakland Ct, Gilbert, AZ 85296-5443 | 2007-05-02 |
| 1417983230 | Jonathan J Wiggenhorn | Otolaryngology | 2700 N 140th Avenue, Ste 107, Goodyear, AZ 85395 | 2006-06-23 |
| 1558329011 | Robert H Woods | Otolaryngology | 9767 N 91st St, #b102, Scottsdale, AZ 85258 | 2006-05-03 |
| 1760472567 | Veena Vanmala Vats | Otolaryngology | 3485 S Mercy Rd, Suite 103, Gilbert, AZ 85297-0429 | 2005-10-24 |
| 1689673972 | Tamarah Fratianni | Otolaryngology | 1340 N Rim Dr, Flagstaff, AZ 86001-3111 | 2005-07-19 |
| 1134684277 | Starkman Facial Plastic Surgery | Otolaryngology | 8560 E Shea Blvd Ste 110, Scottsdale, AZ 85260-6679 | 2019-02-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.