Healthcare Provider Details

I. General information

NPI: 1982287967
Provider Name (Legal Business Name): PIRUTHIVIRAJ NATARAJAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 INDIANA AVE
LUBBOCK TX
79415-3364
US

IV. Provider business mailing address

3601 4TH ST # MS 9410
LUBBOCK TX
79430-9412
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-9098
  • Fax:
Mailing address:
  • Phone: 806-743-2161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberW3580
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberW3580
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2024-0587
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: