Dr RAJIV JETLY MD is a male medical professional, specializing in Internal Medicine. He graduated in 1992.
SOUTHWEST I.D. AND MEDICAL CLINIC, LC
3235 N WINDSONG DR
PRESCOTT VALLEY
AZ
863141222
Tel: 9287723340
| Npi | 1861494247 |
| Pac Id | 3779596184 |
| Professional Enrollment Id | I20060801000298 |
| Last Name | JETLY |
| First Name | RAJIV |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | INFECTIOUS DISEASE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INFECTIOUS DISEASE |
| Organization Legal Name | SOUTHWEST I.D. AND MEDICAL CLINIC, LC |
| Group Practice Pac Id | 9739192246 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 3235 N WINDSONG DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 863141222 |
| Phone Number | 9287723340 |
| Hospital Affiliation Ccn 1 | 030012 |
| Hospital Affiliation Lbn 1 | YAVAPAI REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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