Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRUTHA R RAJYAGURU, PA-C
ActivePRUTHA R RAJYAGURU, PA-C is a Physician Assistant healthcare provider located in PALOS HEIGHTS, Illinois. NPI 1306396700 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PALOS HEIGHTS, IL
Registration Details
- NPI Number
- 1306396700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2016 (9.6992447419346 yrs)
- Last Updated
- Jun 5, 2025
- Licenses
-
53876 (CA)10004020A (IN)085008524 (IL)
Practice Information
- Address
-
12255 S 80TH AVE STE 203PALOS HEIGHTS, IL, 604631284Browse IL providers · Browse ZIP 60463
- Phone
- 7088272021
- Fax
- 7088272241
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PALOS HEIGHTS, IL
| Name | Credential | NPI |
|---|---|---|
| MR. NICHOLAS RYAN WALTERS | PA-C | 1144284449 |
| NIKYA CHILLIS | — | 1982876132 |
| AMANDA LYNN SIMPSON | PA-C | 1417258906 |
| MATTHEW KENNETH WILKIN | P.A. | 1770886723 |
| MS. AIMEE N WOODYARD | PA-C | 1932565421 |
| EMILY COELLO | PA-C | 1649728874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.