Provider Demographics
NPI:1053028639
Name:DESERT ORTHOPEDICS CENTER PLLC
Entity type:Organization
Organization Name:DESERT ORTHOPEDICS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SARIM
Authorized Official - Middle Name:SHAKEEL
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-821-4657
Mailing Address - Street 1:7301 E 2ND ST STE 310
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5627
Mailing Address - Country:US
Mailing Address - Phone:877-821-4657
Mailing Address - Fax:866-207-6786
Practice Address - Street 1:6320 W UNION HILLS DR STE 1400B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1061
Practice Address - Country:US
Practice Address - Phone:877-821-4657
Practice Address - Fax:866-207-6786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site