Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Praveena R Kothur, MD

Individual provider Allergy & Immunology Physician · NPI 1114973179

Praveena R Kothur, MD is an Allergy/Immunology in Glendale, Arizona. Qualified in 1989, 37 years ago. Practices with Valley Allergy and Asthma Clinic PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
37
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6003 W Thunderbird Rd Ste 1
Glendale, AZ 85306-4004
Phone: (602) 805-3129
Fax: (888) 355-6609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 30666 (AZ)

Record details

NPI number1114973179
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Valley Allergy And Asthma Clinic Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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