Healthcare Provider Details

I. General information

NPI: 1811891765
Provider Name (Legal Business Name): NADINE K MIRZAYAN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 E ANGUS DR
SCOTTSDALE AZ
85251-6409
US

IV. Provider business mailing address

12401 N 68TH ST
SCOTTSDALE AZ
85254-4538
US

V. Phone/Fax

Practice location:
  • Phone: 480-664-0125
  • Fax:
Mailing address:
  • Phone: 949-933-6237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: NADINE FRIEDMAN
Title or Position: OWNER
Credential: MD
Phone: 949-933-6237