Healthcare Provider Details

I. General information

NPI: 1093051674
Provider Name (Legal Business Name): NORVAN K VARTEVAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2012
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date: 09/22/2020
Reactivation Date: 09/30/2020

III. Provider practice location address

5410 N SCOTTSDALE RD STE I-100A
PARADISE VALLEY AZ
85253-5927
US

IV. Provider business mailing address

5410 N SCOTTSDALE RD # I-100A
PARADISE VALLEY AZ
85253-5927
US

V. Phone/Fax

Practice location:
  • Phone: 480-572-2444
  • Fax: 602-581-7158
Mailing address:
  • Phone: 480-572-2444
  • Fax: 602-581-7158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number007124
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: