Provider Demographics
NPI:1023567260
Name:SKI AMBULATORY SURGICAL CENTERS, LLC
Entity Type:Organization
Organization Name:SKI AMBULATORY SURGICAL CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR / MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-610-6152
Mailing Address - Street 1:7362 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5028
Mailing Address - Country:US
Mailing Address - Phone:480-610-6152
Mailing Address - Fax:
Practice Address - Street 1:7362 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5028
Practice Address - Country:US
Practice Address - Phone:480-610-6152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical