Individual
AMIT A SAHASRABUDHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
8630 E VIA DE VENTURA, STE 105, SCOTTSDALE, AZ 85258-3358
(480) 889-1838
(480) 889-1917
Mailing address
8630 E VIA DE VENTURA, STE 105, SCOTTSDALE, AZ 85258-3358
(480) 889-1838
(623) 777-4593
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
36788
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
36788
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340268
—
AZ
01
—
3Z3949
HEALTHNET
AZ
Enumeration date
05/20/2006
Last updated
01/14/2021
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