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General NPI Number Information
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NPI Number | 1386736585
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Entity Type | Individual
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Provider Name | GOVARDHANAN NAGAIAH MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 10320 W MCDOWELL RD STE 8025
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City | AVONDALE
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State | AZ
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Zip | 85392-4872
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Country | US
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Telephone | 623-238-7330
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Fax | 623-936-3745
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Provider Business Mailing Address
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Address Line | 10320 W MCDOWELL RD STE 8025
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City | AVONDALE
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State | AZ
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Zip | 85392-4872
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Country | US
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Telephone | 623-238-7330
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Fax | 623-936-3745
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD2013-0149
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 31774
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License Number State | AZ
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