Healthcare Provider Details

I. General information

NPI: 1710204870
Provider Name (Legal Business Name): DEEPTI SAINI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2010
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4921 E BELL RD STE 102
SCOTTSDALE AZ
85254-6002
US

IV. Provider business mailing address

63 S ROCKFORD DR STE 220
TEMPE AZ
85288-6226
US

V. Phone/Fax

Practice location:
  • Phone: 480-892-8400
  • Fax: 602-508-4830
Mailing address:
  • Phone: 480-892-8400
  • Fax: 602-508-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT196789
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD451928
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number51416
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: