MEDICARE: SURRAJ MEDICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	35075	AZ

General Provider Information

NPI Number	:	1346416476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURRAJ MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	5608 E PARADISE LN
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-1202
Country	:	US
Telephone Number	:	602-510-4838
Fax Number	:

Provider Business Practice Location Address
First Line	:	5608 E PARADISE LN
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-1202
Country	:	US
Telephone Number	:	602-510-4838
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. ASHISH SACHDEVA
Credential	:	M.D
Telephone Number	:	602-510-4838

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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