Individual provider · Type 1 NPI

Avigayil Malia Tanami, PA

Physician Assistant · Gilbert, AZ

NPI number 1124748413 Active

Practice location

2946 E Banner Gateway Drive
Gilbert, AZ 85234-2165

Call (480) 256-6444 Map

Fax (480) 256-3682

Mailing address

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X9202 (AZ)
Physician Assistant 363A00000X028735 (NY)
Physician Assistant Primary 363A00000X9202 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124748413

Avigayil Malia Tanami, PA's National Provider Identifier is 1124748413, issued on Aug 29, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gilbert, AZ. The record was last updated on Oct 19, 2026.