Nasser Djavadi, MD | |
17215 N 72nd Dr, Bldg D #140a, Glendale, AZ 85308-8579 | |
(623) 487-9630 | |
(623) 487-9631 |
Full Name | Nasser Djavadi |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 17215 N 72nd Dr, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881649259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 23240 (Arizona) | Primary |
Entity Name | Southwest Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104856004 PECOS PAC ID: 2567560659 Enrollment ID: O20070613000698 |
Mailing Address | Practice Location Address |
---|---|
Nasser Djavadi, MD 17215 N 72nd Dr, Bldg D #140a, Glendale, AZ 85308-8579 Ph: (623) 487-9630 | Nasser Djavadi, MD 17215 N 72nd Dr, Bldg D #140a, Glendale, AZ 85308-8579 Ph: (623) 487-9630 |
Thomas John Knutson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11851 N 51st Ave, Glendale, AZ 85304 Phone: 480-882-4545 Fax: 480-882-5814 | |
Dr. Leticia G Jacinto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17100 N 67th Ave, Ste 401, Glendale, AZ 85308 Phone: 602-795-8698 Fax: 602-795-8699 | |
James Earnest Campbell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4747 W Country Gables Dr., Glendale, AZ 85306 Phone: 602-439-2400 Fax: 602-439-1414 | |
Dr. Carl R Sonder, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18301 N 79th Ave, Ste C126, Glendale, AZ 85308 Phone: 623-486-3346 Fax: 623-486-3747 | |
Frederick Chapman Green Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8802 N 61st Ave, Glendale, AZ 85302 Phone: 623-934-1991 Fax: 480-733-3031 | |
Dr. Houshang Semino, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 17215 N 72nd Dr, D-140a, Glendale, AZ 85308 Phone: 623-487-9630 Fax: 623-487-9631 | |
Dr. Valerie Leah Sharf, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000 |