| Organization Name: | KHATALI AMBULATORY SURGERY CENTER, LLC |
| NPI Number: | 1851567291 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID N CALKINS (MEDICAL DIRECTOR) |
| Mailing Address: | 10450 E Riggs Rd Suite 101 Sun Lakes |
| State: | AZ US |
| Postal Code: | 852487758 |
| Phone Number: | 4806365634 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 01/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |