Organization
DESERT ENDOVASCULAR SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAG RAMI MD (OWNER)
(623) 847-3884
Entity
Organization
Contact information
Practice address
14155 N 83RD AVE STE 136, PEORIA, AZ 85381
(623) 847-3884
(623) 404-3805
Mailing address
14155 N 83RD AVE STE 136, PEORIA, AZ 85381-5652
(623) 847-3884
(623) 404-3805
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/11/2018
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