Healthcare Provider Details

I. General information

NPI: 1689985640
Provider Name (Legal Business Name): NAVID TAGHVAEI AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2010
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

Practice location:
  • Phone: 480-770-5444
  • Fax: 480-214-4980
Mailing address:
  • Phone: 480-770-5444
  • Fax: 480-214-4980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA6761
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: