Provider Demographics
NPI:1205491826
Name:DRAGHA LLC
Entity type:Organization
Organization Name:DRAGHA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AYAD
Authorized Official - Middle Name:K
Authorized Official - Last Name:AGHA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-543-0300
Mailing Address - Street 1:8787 N SCOTTSDALE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-2338
Mailing Address - Country:US
Mailing Address - Phone:480-543-0300
Mailing Address - Fax:
Practice Address - Street 1:8787 N SCOTTSDALE RD STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-2326
Practice Address - Country:US
Practice Address - Phone:480-543-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty