Provider Demographics
NPI:1720744543
Name:ARIZONA COLORECTAL EXPERTS LLC
Entity Type:Organization
Organization Name:ARIZONA COLORECTAL EXPERTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARPIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-844-5157
Mailing Address - Street 1:2995 W ELLIOT RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1670
Mailing Address - Country:US
Mailing Address - Phone:602-844-5157
Mailing Address - Fax:602-844-5257
Practice Address - Street 1:2995 W ELLIOT RD STE 4
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1670
Practice Address - Country:US
Practice Address - Phone:602-844-5157
Practice Address - Fax:602-844-5257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty