Healthcare Provider Details

I. General information

NPI: 1619434081
Provider Name (Legal Business Name): GENERAL & ROBOTIC SURGICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4135 S POWER RD STE 117
MESA AZ
85212-3625
US

IV. Provider business mailing address

PO BOX 1479
CHANDLER AZ
85244-1479
US

V. Phone/Fax

Practice location:
  • Phone: 480-350-7905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ASSER M YOUSSEF
Title or Position: OWNER
Credential: MD
Phone: 917-406-1309