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Contact Information

PARDIS JAVADI, MD
2946 E BANNER GATEWAY DR
GILBERT, AZ85234
 Phone: 480-256-6444
 Fax: 480-256-3682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PARDIS JAVADI · (Female)

NPI Number 1932361169
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2008
Last updated 08/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 69785
  • IL License # 036-138465
  • IN Medicaid 036138465
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    701 N FIRST ST
    SPRINGFIELD, IL 62781
  • ST ANTHONYS MEMORIAL HOSPITAL - (Acute Care)
    503 N MAPLE STREET
    EFFINGHAM, IL 62401
  • ST JOHNS HOSPITAL - (Acute Care)
    800 E CARPENTER ST
    SPRINGFIELD, IL 62769
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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