Healthcare Provider Details

I. General information

NPI: 1376288514
Provider Name (Legal Business Name): SUNIL KATARIA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 N 92ND ST STE 200
SCOTTSDALE AZ
85258-4543
US

IV. Provider business mailing address

7301 E 2ND ST STE 210
SCOTTSDALE AZ
85251-5620
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-7410
  • Fax:
Mailing address:
  • Phone: 480-587-5890
  • Fax: 480-882-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: