Doctor Name: | DR. DILIP K BOBRA |
NPI Number: | 1013099738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 9436 |
Business Practice Address: | 2055 East Southern Avenue Suite A Tempe, AZ - 852827507 |
Business Phone Number: | 4806106602 |
Business Fax Number: | |
Mailing Address: | 2072 East La Vieve Lane, TEMPE |
State: | AZ |
Postal Code: | 852843515 |
Phone Number: | 4808392682 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 10/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 9436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |