Provider Demographics
NPI:1205347499
Name:SAYADIAN, SEROP (NMD)
Entity type:Individual
Prefix:
First Name:SEROP
Middle Name:
Last Name:SAYADIAN
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10204 E CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6343
Mailing Address - Country:US
Mailing Address - Phone:480-330-4143
Mailing Address - Fax:
Practice Address - Street 1:20801 N SCOTTSDALE RD STE 205
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7411
Practice Address - Country:US
Practice Address - Phone:480-389-3265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17-1658175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath