Most Relevant Information
Provider Data
NPI Number: | 1003341876 |
Provider Name: | AMIT RAJARAM D.O. |
Entity Type: | Individual |
Taxonomy Code: | 208000000X |
Specialty: | Pediatrics |
License Number: | R2790 |
Most Important Dates
Enumeration Date: | 04/28/2017 |
Last Updated: | 06/11/2020 |
Provider Practice Location
1919 E THOMAS RD
PHOENIX
AZ
850167710
Practice Location Phone/Fax
Phone: | 6029330198 |
Fax: |
Provider Mailing Location
1919 E THOMAS RD
PHOENIX
AZ
850167710
Provider Mailing Phone/Fax
Phone: | |
Fax: |
Suggested EMR
Pediatrics EMR