Provider Demographics
NPI:1306043443
Name:ARROW SURGICAL ASSOCIATES, P.C
Entity Type:Organization
Organization Name:ARROW SURGICAL ASSOCIATES, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VENKATA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-977-0136
Mailing Address - Street 1:4250 E CAMELBACK RD
Mailing Address - Street 2:SUITE K200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-8301
Mailing Address - Country:US
Mailing Address - Phone:602-977-0136
Mailing Address - Fax:602-977-0758
Practice Address - Street 1:4250 E CAMELBACK RD
Practice Address - Street 2:SUITE K200
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-8301
Practice Address - Country:US
Practice Address - Phone:602-977-0136
Practice Address - Fax:602-977-0758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZCJ2367OtherRR MEDICARE UHC
AZZ63507Medicare PIN