Poduval, Rajiv D

Poduval, Rajiv D is an individual health care provider with primary practice located at 337 E Coronado Rd Suite 201, Phoenix AZ 85004-1580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Poduval, Rajiv D can be contacted via phone (602) 252-8081.

Contact Information

Primary practice address
337 E Coronado Rd Suite 201 Phoenix AZ 85004-1580
Phone: (602) 252-8081
Fax: (602) 252-1520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 30792 Arizona

Profile Details

NPI number 1205822749
LBN Legal business name Poduval, Rajiv D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205822749 NPPES
Arizona MEDICAID 762121

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