OrganizationActive
Surgicalist of Az PLLC
NPI 1881196335 · Trauma Surgery Physician · Goodyear, AZ
Provider details
- NPI number
- 1881196335
- Entity type
- Organization
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Surgicalist Group PLLC
- Organization subpart
- Yes
- Authorized official
- Mit Desai, Ceo(813) 530-5043
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Practice location
13555 W Mcdowell Rd Ste 204
Goodyear, AZ 85395-2626
Phone: (623) 512-4326
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 21647
Tampa, FL 33622-1647
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2023-09-29
- Certified
- 2023-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.