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COLORECTAL CONSULTANTS PLLC NPI 1124201777


NPI Information

NPI: 1124201777
Provider Name: COLORECTAL CONSULTANTS, PLLC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
9475 E IRONWOOD SQUARE DR
SUITE 102
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 240-7391
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COLORECTAL CONSULTANTS, PLLC is a colon rectal surgery in Scottsdale, AZ. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. COLORECTAL CONSULTANTS, PLLC NPI is 1124201777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9475 E IRONWOOD SQUARE DR
SUITE 102
SCOTTSDALE, AZ
ZIP 85258-576
Phone: (480) 240-7391
Fax: (480) 240-7391

The provider's authorized official is Raed Tarazi .
The authorized official title is Owner/president and has the following contact phone number (480) 240-7391.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 12/28/2010.


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
1208C00000XColon & Rectal Surgery34222ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z106286MEDICARE PINARIZONA

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: 4/28/2024

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