Provider Demographics
NPI:1932441938
Name:SURGICAL CENTERS OF ARIZONA, LLC
Entity Type:Organization
Organization Name:SURGICAL CENTERS OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-295-6578
Mailing Address - Street 1:2629 N. SCOTTSDALE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1370
Mailing Address - Country:US
Mailing Address - Phone:480-444-8364
Mailing Address - Fax:602-773-0376
Practice Address - Street 1:2629 N SCOTTSDALE RD
Practice Address - Street 2:100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-1370
Practice Address - Country:US
Practice Address - Phone:480-444-8364
Practice Address - Fax:602-773-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ229587OtherMEDICARE