=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598604415
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DON AFH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2026
-----------------------------------------------------
Last Update Date | 03/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2311 E 49TH AVE
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99223-6516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-570-4530
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2311 E 49TH AVE
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99223-6516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-570-4530
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | DONALD TSVAGANAYI MAZHOU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 509-570-4530
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------