Provider Demographics
NPI:1457963894
Name:ARIZONA SURGICAL AFFILIATES PLLC
Entity Type:Organization
Organization Name:ARIZONA SURGICAL AFFILIATES PLLC
Other - Org Name:ARIZONA SURGICAL AFFILIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ABHISHIEK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-975-0123
Mailing Address - Street 1:8402 E SHEA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6635
Mailing Address - Country:US
Mailing Address - Phone:602-975-0123
Mailing Address - Fax:
Practice Address - Street 1:ARIZONA SURGICAL AFFILIATES PLLC
Practice Address - Street 2:2222 E HIGHLAND AVE, SUITE 222
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4876
Practice Address - Country:US
Practice Address - Phone:602-975-0123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty