Provider Demographics
NPI:1366698367
Name:PAJAK, DARIAN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DARIAN
Middle Name:MICHAEL
Last Name:PAJAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7368
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92863-7368
Mailing Address - Country:US
Mailing Address - Phone:714-571-5000
Mailing Address - Fax:714-571-5055
Practice Address - Street 1:6740 E CAMELBACK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2096
Practice Address - Country:US
Practice Address - Phone:480-809-4880
Practice Address - Fax:480-809-4850
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ420002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ437620Medicaid
AZZ131541Medicare PIN
AZZ131597Medicare PIN
AZ437620Medicaid