Provider Demographics
NPI:1720149990
Name:ARIZONA PLASTIC & RECONSTRUCTIVE SURGEONS, PLLC
Entity Type:Organization
Organization Name:ARIZONA PLASTIC & RECONSTRUCTIVE SURGEONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:VASIF
Authorized Official - Middle Name:N
Authorized Official - Last Name:SABEEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-657-2000
Mailing Address - Street 1:PO BOX 60610
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85082-0610
Mailing Address - Country:US
Mailing Address - Phone:480-657-2000
Mailing Address - Fax:480-657-2011
Practice Address - Street 1:9821 N 95TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4589
Practice Address - Country:US
Practice Address - Phone:480-657-2000
Practice Address - Fax:480-657-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4137208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ113636OtherPROVIDER ID
AZZ113636OtherPROVIDER ID