NPI 1114973179

Praveena R Kothur, MD

Practitioner Allergy & Immunology Physician Glendale, AZ

Practice location

Address: 6003 W Thunderbird Rd STE 1, Glendale, AZ 85306-4004
Phone: (602) 805-3129
Fax: (888) 355-6609
Mailing address: PO Box 5148, Glendale, AZ 85312-5148

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 30666 (AZ)

Other Allergy & Immunology providers in Arizona →

Registry record

NPI: 1114973179
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2006
Record last updated: 25 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.