Restorative Breast Center LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

RESTORATIVE BREAST CENTER LLC

Practice address

5780 N Swan Rd Ste 180
Tucson, AZ 85718-4527

Phone

(520) 448-9490

Fax

(520) 448-9490

NPI assigned

Jan 3, 2021

Organization subpart

Yes

Parent organization

CHAOTIQ LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raman Chaos Mahabir, MD

Title

Ceo

Phone

(602) 499-4599

Specialties & licenses 4

Addresses

Part of

Tucson Plastic Surgery

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1699363929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 N SWAN RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184527",
            "telephone_number": "520-448-9490",
            "fax_number": "520-448-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 N SWAN RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184527",
            "telephone_number": "520-448-9490",
            "fax_number": "520-448-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BREAST CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAOTIQ LLC",
        "enumeration_date": "2021-01-03",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "MAHABIR",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_middle_name": "CHAOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-499-4599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.