1447469671 NPI number — SHURVEER INTERNATIONAL, INC

Table of content: (NPI 1447469671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447469671 NPI number — SHURVEER INTERNATIONAL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHURVEER INTERNATIONAL, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ADVANCED HEALTH & WELLNESS CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447469671
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8952 E DESERT COVE AVE
Provider Second Line Business Mailing Address:
SUIT 103
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-767-7751
Provider Business Mailing Address Fax Number:
480-767-7754

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8952 E DESERT COVE AVE
Provider Second Line Business Practice Location Address:
SUIT 103
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-767-7751
Provider Business Practice Location Address Fax Number:
480-767-7754
Provider Enumeration Date:
05/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
VIMAL
Authorized Official Middle Name:
Authorized Official Title or Position:
HEALTH CARE PROVIDER
Authorized Official Telephone Number:
480-767-7751

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X , with the licence number:  07-410465-D , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com