Ayesha Najib, MD | |
State Route 264/us 191, Sage Memorial Hospital, Ganado, AZ 86505-0457 | |
(928) 755-4642 | |
(928) 755-4589 |
Full Name | Ayesha Najib |
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Gender | Female |
Speciality | Pediatrics |
Location | State Route 264/us 191, Ganado, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801820816 | NPI | - | NPPES |
036106717 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 116176 (Missouri) | Secondary |
208000000X | Pediatrics | ME80607 (Florida) | Secondary |
208000000X | Pediatrics | 49404 (Arizona) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Entity Name | Banner Primary Care Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
Mailing Address | Practice Location Address |
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Ayesha Najib, MD 12336 N 91st St, Scottsdale, AZ 85260-5053 Ph: (314) 322-9450 | Ayesha Najib, MD State Route 264/us 191, Sage Memorial Hospital, Ganado, AZ 86505-0457 Ph: (928) 755-4642 |
Sara Valladolid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Highway 265 West And Junction 191 South, Sage Memorial Hospital, Ganado, AZ 86505 Phone: 928-755-4500 Fax: 928-755-4659 |