Individual
VIKRAM MAYURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2563 S VAL VISTA DR STE 101, GILBERT, AZ 85295-6231
(480) 573-0130
(480) 573-0131
Mailing address
2525 W GREENWAY RD STE 300, PHOENIX, AZ 85023-4292
(480) 573-0130
(480) 573-0131
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD192929
OR
207X00000X
Orthopaedic Surgery Physician
S7129
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
67001
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
S7129
TX
208600000X
Surgery Physician
6867
GA
Other
Enumeration date
07/20/2014
Last updated
03/10/2026
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