Allery and Asthma Center of Arizona PLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

43123 Issued in AZ

Legal business name

ALLERY AND ASTHMA CENTER OF ARIZONA PLC

Practice address

633 E Ray Rd
101
Gilbert, AZ 85296-4200

Phone

(480) 855-0664

Fax

(480) 222-4684

NPI assigned

Jun 26, 2010

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rao Raj Kosaraju, MD

Title

Owner

Phone

(480) 855-0664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1396056131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD",
            "address_2": "101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964200",
            "telephone_number": "480-855-0664",
            "fax_number": "480-222-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD",
            "address_2": "101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964200",
            "telephone_number": "480-855-0664",
            "fax_number": "480-222-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERY AND ASTHMA CENTER OF ARIZONA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-26",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "KOSARAJU",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-855-0664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "43123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana L Allen, SLPA
• Janice Allen, LAC
• Lee Warner Allen, CRNA
• Mark Allen, D.O.
• Tara Allen, LPC
• Alliance Behavioral Care LLC
• Alliance Behavioral Care LLC
• Alliance Behavioral Care LLC
• Alliance Behavioral Care LLC
• Alliance Behavioral Care LLC

• Allergy & Immunology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Allergy & Immunology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.