Healthcare Provider Details

I. General information

NPI: 1376561225
Provider Name (Legal Business Name): RAJINDER S. GROVER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 N SCOTTSDALE RD STE E100
SCOTTSDALE AZ
85253
US

IV. Provider business mailing address

7373 N SCOTTSDALE RD STE E100
SCOTTSDALE AZ
85253-3544
US

V. Phone/Fax

Practice location:
  • Phone: 480-941-1211
  • Fax: 623-478-1534
Mailing address:
  • Phone: 480-941-1211
  • Fax: 623-478-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number054215
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA106650
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number48228
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: