Organization
SCOTTSDALE MEDICAL INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAM VENGURLEKAR MD (SOLE MEMBER/MEDICAL DIRECTOR)
(480) 314-0821
Entity
Organization
Contact information
Practice address
7010 E CHAUNCEY LN, SUITE 215, PHOENIX, AZ 85054-3111
(480) 314-2288
(480) 314-1113
Mailing address
7010 E CHAUNCEY LN, SUITE 215, PHOENIX, AZ 85054-3111
(480) 314-2288
(480) 314-1113
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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