Provider Demographics
NPI:1356218101
Name:TUTERA MEDICAL INC
Entity type:Organization
Organization Name:TUTERA MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHRZAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BORHAN-MANESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-874-1515
Mailing Address - Street 1:8412 E SHEA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6664
Mailing Address - Country:US
Mailing Address - Phone:480-874-1515
Mailing Address - Fax:480-339-0066
Practice Address - Street 1:8412 E SHEA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6664
Practice Address - Country:US
Practice Address - Phone:480-874-1515
Practice Address - Fax:480-339-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty