Healthcare Provider Details

I. General information

NPI: 1851803258
Provider Name (Legal Business Name): VALLEY SURGERY CENTER IV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 10/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9458 E IRONWOOD SQUARE DR STE 101
SCOTTSDALE AZ
85258-4571
US

IV. Provider business mailing address

9458 E IRONWOOD SQUARE DR STE 101
SCOTTSDALE AZ
85258-4571
US

V. Phone/Fax

Practice location:
  • Phone: 480-579-2060
  • Fax:
Mailing address:
  • Phone: 480-579-2060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateAZ

VIII. Authorized Official

Name: DR. RAJAN BHATT
Title or Position: MANAGER
Credential: MD
Phone: 480-579-2060