Provider Demographics
NPI:1356119630
Name:DRAGHA LLC
Entity type:Organization
Organization Name:DRAGHA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYAD
Authorized Official - Middle Name:K
Authorized Official - Last Name:AGHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-750-8130
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 1:9201 E MOUNTAIN VIEW RD STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5140
Practice Address - Country:US
Practice Address - Phone:480-750-8130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRAGHA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty