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Contact Information

NASSER DJAVADI, MD
17215 N 72ND DR
BLDG D #140A
GLENDALE, AZ85308-8579
 Phone: 623-487-9630
 Fax: 623-487-9631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for NASSER DJAVADI · (Male)

NPI Number 1881649259
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 11/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 23240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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