Dr. Alysha Keren Vartevan
Radiology (Diagnostic Radiology)

Address: 4130 E Van Buren St Ste 100, Phoenix, AZ 85008-6996
Phone: 6022442442

Dr. Alysha Keren Vartevan (NPI# 1962748574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962748574
Entity Type Individual
Full Name Dr. Alysha Keren Vartevan
Credential D.O.
Gender Female
Practice Address 4130 E Van Buren St Ste 100
Phoenix
AZ 85008-6996
Practice Telephone 6022442442
Practice Fax Number 6022442445
Mailing Address 6040 E Lafayette Blvd
Scottsdale
AZ 85251-3028
Mailing Telephone 4073400815
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2012-12-31
Last Update Date 2020-11-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 007167 AZ
No 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians OS12901 FL

Secondary Practice Locations

Address Telephone Number Fax Number
7031 Sw 62nd Ave, South Miami, FL 331434701 3052847500

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

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1255870267 Smi Imaging, LLC Radiology 4219 E Bell Rd, Phoenix, AZ 85032-3366 2017-02-23
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Office Location

Street Address 4130 E VAN BUREN ST STE 100
City PHOENIX
State AZ
Zip Code 85008-6996

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NPI Name Taxonomy Address Enumeration
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Competitor

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City PHOENIX
Zip Code 85008

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.