Organization
SCOTTSDALE SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUMASH R PATEL MD (MEMBER)
(480) 212-1185
Entity
Organization
Contact information
Practice address
14256 N NORTHSIGHT BLVD STE 120, SCOTTSDALE, AZ 85260-3954
(480) 212-1185
(480) 212-1186
Mailing address
14256 N NORTHSIGHT BLVD, SUITE 120, SCOTTSDALE, AZ 85260-3953
(480) 212-1185
(480) 212-1186
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35096
AZ
2086S0102X
Surgical Critical Care Physician
35096
AZ
2086S0127X
Trauma Surgery Physician
35096
AZ
2086X0206X
Surgical Oncology Physician
35096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093479
—
AZ
Enumeration date
03/21/2007
Last updated
03/31/2010
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