Provider Demographics
NPI:1699480848
Name:SONORAN RISING ANESTHESIA LLC
Entity type:Organization
Organization Name:SONORAN RISING ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINESH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVERI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-844-7246
Mailing Address - Street 1:1401 N 24TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-4645
Mailing Address - Country:US
Mailing Address - Phone:602-844-7246
Mailing Address - Fax:602-759-7246
Practice Address - Street 1:1401 N 24TH ST STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4645
Practice Address - Country:US
Practice Address - Phone:602-844-7246
Practice Address - Fax:602-759-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty