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

Roya Khodavisi

Individual provider Critical Care Medicine Registered Nurse · NPI 1366228652

Roya Khodavisi is a Critical Care Medicine Registered Nurse in Tucson, Arizona. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1305 N Martin Ave
Tucson, AZ 85721-0001
Phone: (520) 626-6154
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 95111571 (CA)

Record details

NPI number1366228652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 3, 2023
Mailing address1305 N Martin Ave, Tucson, AZ 85721-0001

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