Provider Demographics
NPI:1255946000
Name:ARIZONA CHEST AND VASCULAR SURGEONS PLLC
Entity type:Organization
Organization Name:ARIZONA CHEST AND VASCULAR SURGEONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MURALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHERLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-366-8763
Mailing Address - Street 1:PO BOX 5877
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85385-5877
Mailing Address - Country:US
Mailing Address - Phone:510-679-3980
Mailing Address - Fax:510-679-3980
Practice Address - Street 1:13640 N 99TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-2867
Practice Address - Country:US
Practice Address - Phone:480-430-6602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty