Provider Demographics
NPI:1568647162
Name:ZAYAS BAZAN, JAVIER ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:ALEJANDRO
Last Name:ZAYAS BAZAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7400 E THOMPSON PEAK PKWY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4109
Mailing Address - Country:US
Mailing Address - Phone:480-324-7015
Mailing Address - Fax:480-324-7491
Practice Address - Street 1:7400 E THOMPSON PEAK PKWY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4109
Practice Address - Country:US
Practice Address - Phone:480-324-7015
Practice Address - Fax:480-324-7491
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ36300208M00000X, 207Q00000X
TN43658208M00000X, 207Q00000X
CODR.0071486207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine