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Individual

SIVAN ZADIKOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6135 N 35TH AVE STE 117, PHOENIX, AZ 85017-1951
(480) 677-8282
(888) 316-1686
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9497
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147762
AZ
Enumeration date
06/03/2022
Last updated
03/17/2026
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