Healthcare Provider Details

I. General information

NPI: 1447469671
Provider Name (Legal Business Name): SHURVEER INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 06/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8952 E DESERT COVE AVE SUIT 103
SCOTTSDALE AZ
85260
US

IV. Provider business mailing address

8952 E DESERT COVE AVE SUIT 103
SCOTTSDALE AZ
85260
US

V. Phone/Fax

Practice location:
  • Phone: 480-767-7751
  • Fax: 480-767-7754
Mailing address:
  • Phone: 480-767-7751
  • Fax: 480-767-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number07-410465-D
License Number StateAZ

VIII. Authorized Official

Name: VIMAL PATEL
Title or Position: HEALTH CARE PROVIDER
Credential: RPH, CCN, CAD, DIHOM
Phone: 480-767-7751