Healthcare Provider Details

I. General information

NPI: 1457319659
Provider Name (Legal Business Name): NAVIN KEDIA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13370 E MARY ANN CLEVELAND WAY
VAIL AZ
85641-8610
US

IV. Provider business mailing address

PO BOX 746162
LOS ANGELES CA
90074-4661
US

V. Phone/Fax

Practice location:
  • Phone: 520-420-3260
  • Fax: 520-762-4865
Mailing address:
  • Phone: 520-324-4100
  • Fax: 520-324-1406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4449
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34008475
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4449
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number4449
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: