Individual
VEENA VANMALA VATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3485 S MERCY RD, SUITE 103, GILBERT, AZ 85297-0429
(480) 558-3223
(480) 558-5152
Mailing address
3485 S MERCY RD, SUITE 104, GILBERT, AZ 85297-0429
(480) 558-3223
(480) 558-5152
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
34172
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212627
—
AZ
Enumeration date
10/24/2005
Last updated
11/08/2011
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