Provider Demographics
NPI:1962987271
Name:YULIA KOLTZOVA-RANG MD PLLC
Entity type:Organization
Organization Name:YULIA KOLTZOVA-RANG MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YULIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:KOLTZOVA-RANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-609-8600
Mailing Address - Street 1:10900 N SCOTTSDALE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5222
Mailing Address - Country:US
Mailing Address - Phone:480-609-8600
Mailing Address - Fax:480-922-4966
Practice Address - Street 1:10900 N SCOTTSDALE RD STE 102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5222
Practice Address - Country:US
Practice Address - Phone:480-609-8600
Practice Address - Fax:480-922-4966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty