Provider Demographics
NPI:1134398571
Name:VALLEY CHEST & VASCULAR SURGEONS PLLC
Entity type:Organization
Organization Name:VALLEY CHEST & VASCULAR SURGEONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNDEEP
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-633-2247
Mailing Address - Street 1:29834 N CAVE CREEK RD STE 118-162
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5836
Mailing Address - Country:US
Mailing Address - Phone:602-633-2247
Mailing Address - Fax:602-633-2347
Practice Address - Street 1:18555 N 79TH AVE
Practice Address - Street 2:SUITE E105
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8370
Practice Address - Country:US
Practice Address - Phone:602-633-2247
Practice Address - Fax:602-633-2347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31155208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty