Healthcare Provider Details

I. General information

NPI: 1174518765
Provider Name (Legal Business Name): PETER NAKAJI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7242 E OSBORN RD # 520
SCOTTSDALE AZ
85251-6487
US

IV. Provider business mailing address

7242 E OSBORN RD # 520
SCOTTSDALE AZ
85251-6487
US

V. Phone/Fax

Practice location:
  • Phone: 602-313-7772
  • Fax: 808-472-9324
Mailing address:
  • Phone: 602-313-7772
  • Fax: 480-847-2932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number31086
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: