Provider Type Icon

DESERT INTERVENTIONAL SPINE CONSULTANTS NPI 1154651750


NPI Information

NPI: 1154651750
Provider Name: DESERT INTERVENTIONAL SPINE CONSULTANTS
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 03D1100251

Address:
1410 W GUADALUPE RD STE 125
GILBERT, AZ
ZIP 85233
Phone: (480) 838-1914
Get Directions

DESERT INTERVENTIONAL SPINE CONSULTANTS is a specialist in Gilbert, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DESERT INTERVENTIONAL SPINE CONSULTANTS NPI is 1154651750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1410 W GUADALUPE RD STE 125
GILBERT, AZ
ZIP 85233-041
Phone: (480) 838-1914
Fax: (480) 838-9434

The provider's authorized official is Ajay N Yeddu .
The authorized official title is President and has the following contact phone number (480) 361-7680.

The CLIA number assigned to this NPI record is 03D1100251 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2010 and was last updated on 10/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist34866ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.