Provider Demographics
NPI:1174518765
Name:NAKAJI, PETER (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:NAKAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7242 E OSBORN RD # 520
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6487
Mailing Address - Country:US
Mailing Address - Phone:602-313-7772
Mailing Address - Fax:480-847-2932
Practice Address - Street 1:7242 E OSBORN RD # 520
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6487
Practice Address - Country:US
Practice Address - Phone:602-313-7772
Practice Address - Fax:808-472-9324
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ31086207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ750762Medicaid
AZZ72131Medicare PIN
H75524Medicare UPIN