Az Home MD LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0547 Issued in AZ

Legal business name

AZ HOME MD LLC

Practice address

6677 W Thunderbird Rd
J 171
Glendale, AZ 85306-3709

Phone

(623) 977-6245

Fax

(623) 977-6280

NPI assigned

Sep 6, 2013

Last updated

Apr 29, 2014By 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

Dr. Rajesh Daulat, DPMNPI 1467567883

Title

Partner

Phone

(623) 977-6245

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Comfort Care Providers, LLC.

  • Physiological Laboratory
  • Avondale, AZ
  • NPI 1952803652

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajesh Praful Daulat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glendale, AZ
  • NPI 1467567883
  Authorized official Same address or phone

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1972938165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "J 171",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-977-6245",
            "fax_number": "623-977-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "J 171",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "623-977-6245",
            "fax_number": "623-977-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ HOME MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "623-977-6245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Comfort Home Health Care LLC
• Az Dentist LLC (Modern Family Dentistry)
• Az Family Dental PLLC
• Az Health Services, LLC (Akos Medical Group)
• Az Home Eye Care Inc
• Az Home Phlebotomy Services
• Az Imaging, LLC
• Az in-Home Care Solutions LLC
• Az Integrated Medicine
• Az Interact

• Podiatrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.