Healthcare Provider Details

I. General information

NPI: 1386049070
Provider Name (Legal Business Name): INTEGRITY PAIN AND ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8997 E DESERT COVE AVE FL 1
SCOTTSDALE AZ
85260-6742
US

IV. Provider business mailing address

7436 E MAIN ST STE 2
MESA AZ
85207-9338
US

V. Phone/Fax

Practice location:
  • Phone: 480-664-3317
  • Fax: 480-393-7665
Mailing address:
  • Phone: 480-325-9600
  • Fax: 480-493-5336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number45755
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMIT PATEL
Title or Position: OWNER
Credential: M.D
Phone: 405-921-2503