Healthcare Provider Details

I. General information

NPI: 1871150789
Provider Name (Legal Business Name): ALI RAJA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2019
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9060 E VIA LINDA STE 250
SCOTTSDALE AZ
85258-5425
US

IV. Provider business mailing address

9060 E VIA LINDA STE 250
SCOTTSDALE AZ
85258-5425
US

V. Phone/Fax

Practice location:
  • Phone: 480-614-2000
  • Fax: 480-614-1751
Mailing address:
  • Phone: 480-614-2000
  • Fax: 806-141-7514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0067946
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberDR.0067946
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number011364
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberDR.0067946
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number011364
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0067946
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: