MEDICARE: AADYA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1811728702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AADYA LLC

Provider Business Mailing Address
First Line	:	1239 E MCKELLIPS RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-2700
Country	:	US
Telephone Number	:	480-588-7976
Fax Number	:

Provider Business Practice Location Address
First Line	:	1239 E MCKELLIPS RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-2700
Country	:	US
Telephone Number	:	480-588-7976
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	PAWAN DHAWAN
Credential	:
Telephone Number	:	480-588-7976

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	08/12/2024

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Directions to “AADYA LLC ” Practice Location

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