Healthcare Provider Details

I. General information

NPI: 1467383414
Provider Name (Legal Business Name): ELITE HEARING & BALANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1757 E BASELINE RD STE 111
GILBERT AZ
85233-1533
US

IV. Provider business mailing address

1757 E BASELINE RD STE 111
GILBERT AZ
85233-1533
US

V. Phone/Fax

Practice location:
  • Phone: 480-818-4026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: SOHA NADMI GARADAT
Title or Position: MANAGING MEMBER
Credential: PHD, ABAC, BC-PA
Phone: 480-408-5077