Advanced Minimally Invasive Surgical

LBN: Advanced Minimally Invasive Surgical
Advanced Minimally Invasive Surgical is an health care organization with primary practice located at 202 E Earll Dr Ste 360 , Phoenix AZ 85012-2677. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Surgery, Agencies / Community/Behavioral Health. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Advanced Minimally Invasive Surgical can be contacted via phone (480) 788-5621, or through Kim, Kiup Alex via phone (480) 299-7654.

Contact Information

Primary practice address
202 E Earll Dr Ste 360 Phoenix AZ 85012-2677
Phone: (480) 788-5621
Fax: (480) 779-1277
Website:
Map and Directions
Authorized official contact:
Name: Kim, Kiup Alex Doctor of Medicine (MD)
Phone: (480) 299-7654

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1295056919
LBN Legal business name Advanced Minimally Invasive Surgical
DBA Doing business as
Authorized official Kim, Kiup Alex Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2010
Last updated Oct 18th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295056919 NPPES
Arizona MEDICAID 501341
Arizona Other Z139139
Arizona Other P00924643
Arizona Other Z139140

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