# PARADISE VALLEY SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245613256
- **Authorized official:** BILAL SHANTI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (602) 254-6369

## Contact information

- **Practice address:** 1008 E MCDOWELL RD, SUITE C, PHOENIX, AZ 85006-2603
- **Practice address phone:** (602) 254-6369
- **Mailing address:** 4400 N SCOTTSDALE RD, SUITE 9, \#98, SCOTTSDALE, AZ 85251-3331
- **Mailing address phone:** (602) 254-6369
- **Mailing address fax:** (602) 254-6372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC7168 | AZ | Yes |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 07/08/2015