Healthcare Provider Details

I. General information

NPI: 1568373108
Provider Name (Legal Business Name): EHC YUMA ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 E 26TH ST STE 1&2
YUMA AZ
85365-1123
US

IV. Provider business mailing address

6325 E 26TH ST STE 1&2
YUMA AZ
85365-1123
US

V. Phone/Fax

Practice location:
  • Phone: 520-262-0675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KISHLAY ANAND
Title or Position: MANAGER
Credential: MD
Phone: 917-364-6662