Healthcare Provider Details

I. General information

NPI: 1235274614
Provider Name (Legal Business Name): EAST VALLEY CENTER FOR PULMONARY & SLEEP DISORDERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 E SOUTHERN AVE STE 103
MESA AZ
85204-5520
US

IV. Provider business mailing address

3155 E SOUTHERN AVE STE 103
MESA AZ
85204-5520
US

V. Phone/Fax

Practice location:
  • Phone: 480-325-8173
  • Fax: 480-325-8179
Mailing address:
  • Phone: 480-325-8173
  • Fax: 480-325-8179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number37173
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number38218
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1194713263
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerNPI - DR JAVADPOOR
# 2
Identifier342274
Identifier TypeMEDICAID
Identifier StateAZ
Identifier Issuer
# 3
Identifier1184835282
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerNPI-DR CHOUDRHI
# 4
Identifier1427269638
Identifier TypeOTHER
Identifier StateAZ
Identifier IssuerNPI- DR KAVATHIA
# 5
Identifier307822
Identifier TypeMEDICAID
Identifier StateAZ
Identifier Issuer
# 6
Identifier789539
Identifier TypeMEDICAID
Identifier StateAZ
Identifier Issuer

VIII. Authorized Official

Name: SEYED AHMED JAVADPOOR
Title or Position: PARTNER
Credential: MD
Phone: 480-325-8173