Provider Demographics
NPI:1235427709
Name:DESERT SPINE AND SCOLIOSIS CENTER
Entity Type:Organization
Organization Name:DESERT SPINE AND SCOLIOSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFATH
Authorized Official - Middle Name:ULLAH
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-993-1300
Mailing Address - Street 1:4566 E INVERNESS AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4633
Mailing Address - Country:US
Mailing Address - Phone:480-993-1300
Mailing Address - Fax:480-993-1335
Practice Address - Street 1:4566 E INVERNESS AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4633
Practice Address - Country:US
Practice Address - Phone:480-993-1300
Practice Address - Fax:480-993-1335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ42500207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty