Healthcare Provider Details

I. General information

NPI: 1467979955
Provider Name (Legal Business Name): ATLAS NEUROSURGERY AND SPINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8402 E SHEA BLVD STE 100
SCOTTSDALE AZ
85260-6635
US

IV. Provider business mailing address

8402 E SHEA BLVD STE 100
SCOTTSDALE AZ
85260-6635
US

V. Phone/Fax

Practice location:
  • Phone: 602-975-0123
  • Fax:
Mailing address:
  • Phone: 602-975-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ABHISHIEK SHARMA
Title or Position: NEUROSURGEON
Credential: MD
Phone: 602-975-0123