Organization
SOUTHWEST ENDOSCOPY & SURGICENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KANIKURICHI S VENKATESH MD FRCS (MEDICAL DIRECTOR OWNER)
(480) 835-5302
Entity
Organization
Contact information
Practice address
2223 E BASELINE ROAD, SUITE B, GILBERT, AZ 85234-2397
(480) 835-5302
Mailing address
2223 E BASELINE RD, SUITE B, GILBERT, AZ 85234-2397
(480) 835-5302
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
05/05/2008
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