Individual
DR. ABHAY N VATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3575 W DEER VALLEY RD STE 100, GLENDALE, AZ 85308-2037
(480) 585-5200
(602) 933-4610
Mailing address
7010 E CHAUNCEY LN STE 225, PHOENIX, AZ 85054-3117
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD066496L
PA
208000000X
Pediatrics Physician
53293
AZ
208000000X
Pediatrics Physician
MD066496L
PA
2080P0210X
Pediatric Nephrology Physician
Primary
53293
AZ
2080P0210X
Pediatric Nephrology Physician
MD066496L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001754256
—
PA
05
—
235567
—
AZ
Enumeration date
02/24/2006
Last updated
06/11/2019
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