Healthcare Provider Details

I. General information

NPI: 1437092418
Provider Name (Legal Business Name): ARIANNA PAKZADEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

9236 W PONTIAC DR
PEORIA AZ
85382-5225
US

V. Phone/Fax

Practice location:
  • Phone: 602-839-2147
  • Fax:
Mailing address:
  • Phone: 623-910-2405
  • Fax: 623-910-2405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number337793
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: