Organization · NPI-2

A Gianni Vishteh MD PC

Neurological Surgery · Phoenix, AZ

NPI number1780779629
StatusActive
Last updated in NPPESMar 4, 2010

Details

NPI
1780779629
Entity type
Organization (NPI-2)
Legal business name
A Gianni Vishteh MD PC
Organization subpart
No
Enumeration date
Oct 4, 2006
Last updated
Mar 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery––Yes

Practice location

18404 N Tatum Blvd
Suite 205
Phoenix, AZ 85032-1510

Phone 480-827-2200 · Fax 480-827-0318

Mailing address

Po Box 44752
Phoenix, AZ 85064-4752

Phone 480-827-2200 · Fax 480-827-0318

Authorized official

A Gianni Vishteh
Ceo
4808272200

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