Healthcare Provider Details

I. General information

NPI: 1649032210
Provider Name (Legal Business Name): CAMELBACK SPINE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 E BELL RD STE 2700
PHOENIX AZ
85032-2155
US

IV. Provider business mailing address

3815 E BELL RD STE 2700
PHOENIX AZ
85032-2155
US

V. Phone/Fax

Practice location:
  • Phone: 602-714-6970
  • Fax: 602-714-5176
Mailing address:
  • Phone: 602-714-6970
  • Fax: 602-714-5176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: HARVINDER SINGH BEDI
Title or Position: OWNER AND PHYSICIAN
Credential: MD
Phone: 623-714-6970