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Organization

RESTORATIVE BREAST CENTER LLC

Active
Parent organization
CHAOTIQ LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHAOTIQ LLC
Authorized official
DR. RAMAN CHAOS MAHABIR MD (CEO)
(602) 499-4599
Entity
Organization

Contact information

Practice address
5780 N SWAN RD STE 180, TUCSON, AZ 85718-4527
(520) 448-9490
(520) 448-9490
Mailing address
5780 N SWAN RD STE 180, TUCSON, AZ 85718-4527
(520) 448-9490
(520) 448-9492

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
01/03/2021
Last updated
01/26/2023
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