Healthcare Provider Details
I. General information
NPI: 1508400391
Provider Name (Legal Business Name): A&A AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2019
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3226 N MILLER RD STE 5
SCOTTSDALE AZ
85251-6930
US
IV. Provider business mailing address
3226 N MILLER RD STE 5
SCOTTSDALE AZ
85251-6930
US
V. Phone/Fax
- Phone: 480-770-5444
- Fax: 480-214-4980
- Phone: 480-770-5444
- Fax: 480-214-4980
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAVID
TAGHVAEI
Title or Position: DOCTOR OF AUDIOLOGY
Credential:
Phone: 480-770-5444