# KHATALI AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1851567291
- **Authorized official:** DR. DAVID N CALKINS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 636-5634

## Contact information

- **Practice address:** 10450 E RIGGS RD, SUITE 101, SUN LAKES, AZ 85248-7758
- **Practice address phone:** (480) 636-5634
- **Mailing address:** 10450 E RIGGS RD STE 101, SUN LAKES, AZ 85248-7759
- **Mailing address phone:** (414) 258-9511
- **Mailing address fax:** (414) 607-3948

## Taxonomy

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

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 01/26/2011