Individual provider · Type 1 NPI

Praveena R. Kothur, MD

Allergy & Immunology Physician · Glendale, AZ

NPI number 1114973179 Active

Practice location

6003 W Thunderbird Rd Ste 1
Glendale, AZ 85306-4004

Fax (888) 355-6609

Mailing address

PO Box 5148
Glendale, AZ 85312-5148

Other practice locations

  • 14418 W Meeker Blvd Ste 105, Sun City West, AZ 85375-5290 · (602) 805-3129

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X30666 (AZ)

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

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About NPI 1114973179

Praveena R. Kothur, MD's National Provider Identifier is 1114973179, issued on May 25, 2006. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Glendale, AZ. The record was last updated on Jul 25, 2025.