Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prescott Interventional Radiology LLC

Organization Diagnostic Radiology Physician · NPI 1457314825

Prescott Interventional Radiology LLC is a Diagnostic Radiology Physician in Prescott, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

980 Willow Creek Rd
Prescott, AZ 86301-1611
Phone: (928) 443-0077
Fax: (928) 443-0019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1457314825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Kirdani — President Owner · (928) 443-0077
NPI enumeratedApril 7, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 27340, Phoenix, AZ 85061-7340

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