Healthcare Provider Details

I. General information

NPI: 1255271151
Provider Name (Legal Business Name): MONA MAHMOODZADEGAN NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONA ZADE NMD

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 S VAL VISTA DR STE 127
GILBERT AZ
85295-1678
US

IV. Provider business mailing address

2730 S VAL VISTA DR STE 127
GILBERT AZ
85295-1678
US

V. Phone/Fax

Practice location:
  • Phone: 480-581-8708
  • Fax:
Mailing address:
  • Phone: 480-581-8708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: