MEDICARE: PETER NAKAJI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	31086	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174518765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER NAKAJI MD

Provider Business Mailing Address
First Line	:	7242 E OSBORN RD # 520
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6487
Country	:	US
Telephone Number	:	602-313-7772
Fax Number	:	480-847-2932

Provider Business Practice Location Address
First Line	:	7242 E OSBORN RD # 520
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6487
Country	:	US
Telephone Number	:	602-313-7772
Fax Number	:	808-472-9324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	05/05/2025

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