Viswanathan Rajesh, M.D

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

R71075 Issued in AZ

Practice address

2800 E Ajo Way
Uph Gme Consortium
Tucson, AZ 85713-6204

Phone

(623) 388-1793

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1215183124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 W BELL RD",
            "address_2": "APT. 3073, EAGLECREST APARTMENTS",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083664",
            "telephone_number": "623-388-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E AJO WAY",
            "address_2": "UPH GME CONSORTIUM",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136204",
            "telephone_number": "623-388-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJESH",
        "first_name": "VISWANATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "R71075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Elizabeth Raidmae
• Eric Schmidt Rain, RN
• Rainbow Bridge Healing Arts Center
• Raindance Healing Centers
• Samantha Kate Rainsdon
• Guruprasad Raju, MD
• Raksa Wellness
• Mittida Raksanaves, DDS, MS
• Jessica Ventenilla Raldiris, DMD, MPH
• Trenton Raley

• Medical Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.