Provider Demographics
NPI:1811635121
Name:ANAYA, DAVID (HADE)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:ANAYA
Suffix:
Gender:M
Credentials:HADE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 W HOSPITAL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-7804
Mailing Address - Country:US
Mailing Address - Phone:520-792-2170
Mailing Address - Fax:
Practice Address - Street 1:1980 W HOSPITAL DR STE 201
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7804
Practice Address - Country:US
Practice Address - Phone:520-792-2170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12615237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist