Provider Demographics
NPI:1053195743
Name:UROLOGIC SURGEONS OF ARIZONA PLC
Entity type:Organization
Organization Name:UROLOGIC SURGEONS OF ARIZONA PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KASHIF
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-409-5060
Mailing Address - Street 1:1234 S POWER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3700
Mailing Address - Country:US
Mailing Address - Phone:480-409-5060
Mailing Address - Fax:480-409-5070
Practice Address - Street 1:7555 E OSBORN RD STE 201
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6442
Practice Address - Country:US
Practice Address - Phone:480-409-5060
Practice Address - Fax:480-409-5070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty