Provider Demographics
NPI:1588220818
Name:NANAVATI, PARIN PRATIK (MD)
Entity type:Individual
Prefix:
First Name:PARIN
Middle Name:PRATIK
Last Name:NANAVATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7242 E OSBORN RD STE 400
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6494
Mailing Address - Country:US
Mailing Address - Phone:602-258-3354
Mailing Address - Fax:
Practice Address - Street 1:7242 E OSBORN RD STE 400
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6494
Practice Address - Country:US
Practice Address - Phone:602-258-3354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL470202084N0400X
AZ733022084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology