MEDICARE: YULIA K KOLTZOVA-RANG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A70575	CA
2	207R00000X	Internal Medicine Physician	AZ55761	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	942463139	OTHER		TAX ID

General Provider Information

NPI Number	:	1528133170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULIA K KOLTZOVA-RANG M.D.

Provider Business Mailing Address
First Line	:	10900 N SCOTTSDALE RD STE 102
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-5222
Country	:	US
Telephone Number	:	480-609-8600
Fax Number	:	480-922-4966

Provider Business Practice Location Address
First Line	:	10900 N SCOTTSDALE RD STE 102
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-5222
Country	:	US
Telephone Number	:	480-609-8600
Fax Number	:	480-922-4966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	01/08/2026

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