Organization
SCOTTSDALE PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAM VENGURLEKAR MD (MANAGING MEMBER)
(480) 314-2288
Entity
Organization
Contact information
Practice address
7010 E CHAUNCEY LN STE 215, PHOENIX, AZ 85054-3117
(480) 314-2288
(480) 314-1113
Mailing address
7010 E CHAUNCEY LN STE 215, PHOENIX, AZ 85054-3117
(480) 314-2288
(480) 314-1113
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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