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Search › Arizona › 207R00000X

Rajiv Jetly, M.D

NPI 1861494247 · on the registry since 2005

Practice

Address
3235 N Windsong Dr
Prescott Valley, AZ 86314
Phone
(928) 772-3340
Fax
(928) 759-9611
Organisation at this address
Southwest I.D. & Medical Clinic, Lc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207RI0200X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona