MOSHARRAFA PLASTIC SURGERY PLC NPI 1639435886

NPI Information

MOSHARRAFA PLASTIC SURGERY PLC is a plastic and reconstructive surgery surgery in Phoenix, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. MOSHARRAFA PLASTIC SURGERY PLC NPI is 1639435886. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4611 E SHEA BLVD
SUITE 230
PHOENIX, AZ
ZIP 85028-254
Phone: (602) 513-8133
Fax: (602) 265-6286

The provider's authorized official is Elizabeth Baker .
The authorized official title is Office Administrator and has the following contact phone number (602) 513-8133.

The CLIA number assigned to this NPI record is 03D2043699 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 9/14/2012.

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:

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