# SOUTHDALE SPECIALTY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bhatti GI Consultants, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871257071
- **Authorized official:** MRS. SARA CONSULTANTS BHATTI RN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (952) 368-3800

## Contact information

- **Practice address:** 6500 BARRIE RD STE 300, EDINA, MN 55435-2348
- **Practice address phone:** (952) 368-3800
- **Practice address fax:** (952) 368-3801
- **Mailing address:** 1457 WHITE OAK DR, CHASKA, MN 55318-2525
- **Mailing address phone:** (952) 368-3800
- **Mailing address fax:** (952) 368-3801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2021
- **Last updated:** 08/21/2023