Individual
SOHA GARADAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.SC. PHD
Contact information
Practice address
4838 E BASELINE RD STE 126, MESA, AZ 85206-4673
(480) 265-8067
Mailing address
4838 E BASELINE RD STE 126, MESA, AZ 85206-4673
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA14321
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA14321
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
11/17/2023
Last updated
11/17/2023
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