Desert Stream Urology
Urology in Scottsdale, AZ. Organization (NPI-2).
NPI number1043091978
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1043091978
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Stream Urology
- Organization subpart
- No
- Enumeration date
- Oct 6, 2023
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Practice location
8118 E Mulberry StScottsdale, AZ 85251-5871
Phone 714-546-1121
Mailing address
8118 E Mulberry StScottsdale, AZ 85251-5871
Authorized official
Khaled Fareed
Ceo
2163755223
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