Healthcare Provider Details
I. General information
NPI: 1790677276
Provider Name (Legal Business Name): ALCHEMY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/17/2025
Last Update Date: 10/26/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5780 N SWAN RD STE 140
TUCSON AZ
85718-4528
US
IV. Provider business mailing address
5780 N SWAN RD STE 140
TUCSON AZ
85718-4528
US
V. Phone/Fax
- Phone: 520-448-9490
- Fax: 520-448-9492
- Phone: 520-448-9490
- Fax: 520-448-9492
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAMAN
MAHABIR
Title or Position: MD CEO
Credential: MD
Phone: 602-499-4599