Healthcare Provider Details

I. General information

NPI: 1447231774
Provider Name (Legal Business Name): ATUL P LALANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 08/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 N SCOTTSDALE RD 348
SCOTTSDALE AZ
85251-5648
US

IV. Provider business mailing address

9500 E. IRONWOOD SQUARE DRIVE SUITE 201
SCOTTSDALE AZ
85258
US

V. Phone/Fax

Practice location:
  • Phone: 480-874-0771
  • Fax:
Mailing address:
  • Phone: 480-664-8988
  • Fax: 480-664-8998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number33131
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: