Healthcare Provider Details

I. General information

NPI: 1205491826
Provider Name (Legal Business Name): DRAGHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 E MOUNTAIN VIEW RD STE 100
SCOTTSDALE AZ
85258-5140
US

IV. Provider business mailing address

8787 N SCOTTSDALE RD STE 105
SCOTTSDALE AZ
85253-2338
US

V. Phone/Fax

Practice location:
  • Phone: 480-750-8130
  • Fax: 480-590-2479
Mailing address:
  • Phone: 480-543-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AYAD K. AGHA
Title or Position: PHYSICIAN/OWNER
Credential: D.O.
Phone: 480-543-0300