Dr. Steven Samuel Traikovich
Otolaryngology/Facial Plastic Surgery
19636 N 27th Ave Ste 206
Phoenix
, Arizona 85027-4015
Dr. Steven Samuel Traikovich
Otolaryngology/Facial Plastic Surgery
19636 N 27th Ave Ste 206
Phoenix
, Arizona 85027-4015
(602) 317-9347
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Steven Samuel Traikovich
- 9967 E Desert Beauty Dr
- Scottsdale, AZ
- Zip : 85255-2579
- Phone : (602) 317-9347
Second Address
- Dr. Steven Samuel Traikovich
- 19636 N 27th Ave Ste 206
- Phoenix, AZ
- Zip : 85027-4015
- Fax : (623) 580-9084
- Phone : (623) 516-0930
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 3330 | AZ |
National Provider Identifier
| NPI | 1669576948 |
|---|---|
| Provider Name | Dr. Steven Samuel Traikovich |
| First Address | Scottsdale, AZ 85255-2579 |
| Second Address | Phoenix, AZ 85027-4015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2006 |
| Last Update Date | 21/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 861012817 | TAX ID (01) | AZ |
| AZ0884120 | BLUE CROSS BLUE SHIELD (01) | AZ |
| G85621 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.