ADVANCED MINIMALLY INVASIVE SURGICAL – NPI #1750139804
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

ADVANCED MINIMALLY INVASIVE SURGICAL is a surgeon located in CHANDLER, AZ. NPPES has assigned the NPI number 1750139804 to ADVANCED MINIMALLY INVASIVE SURGICAL on May 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED MINIMALLY INVASIVE SURGICAL below.

NPI Profile for
ADVANCED MINIMALLY INVASIVE SURGICAL

NPI Number
1750139804
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED MINIMALLY INVASIVE SURGICAL
Primary location
1455 W CHANDLER BLVD STE B11
CHANDLER, AZ 85224-6128
Phone: (480) 788-5621 Fax: (480) 779-1277
Mailing address
202 E EARLL DR STE 360
PHOENIX, AZ 85012-2677
Phone: (480) 788-5621 Fax: (480) 779-1277
Organization Subpart
Yes - ADVANCED MINIMALLY INVASIVE SURGICAL is subpart of another organization.
Authorized Official
KIUP KIM
OWNER
Phone: (480) 323-6072
Updated
Certification Date
May 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.