Provider Demographics
NPI:1508535733
Name:PRECISION HAND AND ORTHOPEDIC SURGERY PLLC
Entity Type:Organization
Organization Name:PRECISION HAND AND ORTHOPEDIC SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TANAY
Authorized Official - Middle Name:JAGDISH
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-264-3300
Mailing Address - Street 1:13090 N 94TH DR STE 204
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4258
Mailing Address - Country:US
Mailing Address - Phone:623-264-3300
Mailing Address - Fax:
Practice Address - Street 1:13090 N 94TH DR STE 204
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4258
Practice Address - Country:US
Practice Address - Phone:623-264-3300
Practice Address - Fax:833-913-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty