DR. KAMAL R. RASTOGI (NPI# 1033107628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033107628 |
Entity Type | Individual |
Full Name | DR. KAMAL R. RASTOGI |
Credential | MD |
Practice Address |
1925 W Orange Grove Rd Suite 200 Tucson AZ 85704 |
Practice Telephone | 5205445556 |
Practice Fax Number | 5205445619 |
Mailing Telephone | 5205445556 |
Mailing Fax Number | 5205445619 |
Enumeration Date | 2005-10-09 |
Last Update Date | 2013-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
33164 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | PROVIDER # FOR AHCCCS | 888323 | 01 |
AZ | STATE MEDICAL LICENSE # | 33164 | 01 |
DEA # | BR2201541 | 01 |
Street Address |
1925 W ORANGE GROVE RD SUITE 200 |
City | TUCSON |
State | AZ |
Zip Code | 85704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
Find all providers in zip 85704 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730651738 | Banner Alzheimer's Institute | Psychiatry & Neurology | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1478 | 2019-01-02 |
1881786150 | Jennifer Suzanne Gunther | Psychiatry & Neurology | 3601 S 6th Ave, Tucson, AZ 85723-2700 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750921508 | Red Rock Interoperative Neuromonitoring LLC | Psychiatry & Neurology | 3800 N Central Ave Ste 460, Phoenix, AZ 85012-1995 | 2020-01-09 |
1194217596 | Aegis Iom, Pllc | Psychiatry & Neurology | 5323 E Palomino Rd, Phoenix, AZ 85018-1911 | 2018-05-31 |
1477749091 | M.a.nayer, M.d.,p.c. | Psychiatry & Neurology | 3015 Hiway 95, Suite 109, Bullhead City, AZ 86442-4334 | 2007-09-18 |
1487972626 | Robert Jeremy Cox | Psychiatry & Neurology | 111 N Dupont Cir, Phoenix, AZ 85034-1803 | 2010-05-12 |
1497918502 | Shruti Badhwar | Psychiatry & Neurology | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2008-07-08 |
1679781652 | Ajo Joy | Psychiatry & Neurology | 3507 S Mercy Rd, Suite 101, Gilbert, AZ 85297-0441 | 2007-05-21 |
1083761126 | Arizona Neurological Institute | Psychiatry & Neurology | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2007-01-04 |
1013966712 | Banner Alzheimer's Institute | Psychiatry & Neurology | 901 E Willetta St, Phoenix, AZ 85006-2727 | 2006-05-09 |
1568429025 | Pierre N Tariot | Psychiatry & Neurology | 901 E Willetta St, 3rd Floor, Phoenix, AZ 85006-2727 | 2006-04-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.