Provider Demographics
NPI:1689084428
Name:VADASZ-CHATES, NATALY I (MD)
Entity type:Individual
Prefix:DR
First Name:NATALY
Middle Name:I
Last Name:VADASZ-CHATES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NATALY
Other - Middle Name:I
Other - Last Name:VADASZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5620 W THUNDERBIRD RD STE B3
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4638
Mailing Address - Country:US
Mailing Address - Phone:602-206-6262
Mailing Address - Fax:602-235-0296
Practice Address - Street 1:5620 W THUNDERBIRD RD STE B3
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4638
Practice Address - Country:US
Practice Address - Phone:602-206-6262
Practice Address - Fax:602-235-0296
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ53521208000000X, 208M00000X, 2080S0012X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ288657Medicaid