Kamran Javadi, PA-C, MPH is a medicare enrolled "Physician Assistant" in Grand Canyon, Arizona. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
1 Clinic Rd, Grand Canyon, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 638-2551.
Kamran Javadi is licensed to practice in Arizona (license number 9681) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326635905.
Provider's Profile
| Full Name | Kamran Javadi |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 1 Clinic Rd, Grand Canyon, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kamran Javadi graduated from nursing school in 2020
NPI Data:
- NPI Number: 1326635905
- Provider Enumeration Date: 12/29/2020
- Last Update Date: 04/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 0840606471
- Enrollment ID: I20230719002181
Medical Identifiers
Medical identifiers for Kamran Javadi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326635905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 9681 (Arizona) | Primary |
| 363A00000X | Physician Assistant | 91664 (Montana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamran Javadi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kamran Javadi, PA-C, MPH Po Box 1231, Tucson, AZ 85702-1231 Ph: (520) 670-3909 | Kamran Javadi, PA-C, MPH 1 Clinic Rd, Grand Canyon, AZ 86023-0290 Ph: (928) 638-2551 |
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