MEDICARE: DR. AJITH PURUSH MBBS, MD

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	33680	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101416	OTHER	AZ	MEDICARE ID
2	P00217872	OTHER		RR MEDICARE

General Provider Information

NPI Number	:	1699761437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AJITH PURUSH MBBS, MD

Provider Business Mailing Address
First Line	:	722 N MONTEZUMA ST
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-2002
Country	:	US
Telephone Number	:	928-237-9000
Fax Number	:	928-237-9011

Provider Business Practice Location Address
First Line	:	722 N MONTEZUMA ST
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-2002
Country	:	US
Telephone Number	:	928-237-9000
Fax Number	:	928-237-9011

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	01/28/2015

Similar Medicare Providers

1861358855 — ERIN LANGMEAD PA
Practice Location Address:

722 N MONTEZUMA ST
PRESCOTT, AZ
86301-2002

Practice Phone: 928-237-9000
Practice Fax:

1053529958 — HANDS ON HEALTHCARE
Practice Location Address:

722 N MONTEZUMA ST
PRESCOTT, AZ
86301-2002

Practice Phone: 928-776-8864
Practice Fax: 928-776-0964

1487967519 — AJITH PURUSH MD PLC
Practice Location Address:

722 N MONTEZUMA ST
PRESCOTT, AZ
86301-2002

Practice Phone: 928-237-9000
Practice Fax: 928-237-9011

1275148280 — PATRICIA MIRIAM RUS PA-C
Practice Location Address:

722 N MONTEZUMA ST
PRESCOTT, AZ
86301-2002

Practice Phone: 928-237-9000
Practice Fax:

1780537035 — SERVANT'S HEART, LLC
Practice Location Address:

2902 N TARRA AVE
PRESCOTT, AZ
86301-4952

Practice Phone: 928-777-5512
Practice Fax:

1609154418 — TARPAN RAJNIKANT PATEL M.D.
Practice Location Address:

1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ
86301-1614

Practice Phone: 928-445-6025
Practice Fax: 928-778-3026

Directions to “ DR. AJITH PURUSH MBBS, MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.