| Arizona Internal Medicine Associates Llc | |
|
3435 E. Kael St Mesa AZ 85213 | |
| (480) 586-5924 | |
| Not Available |
| Full Name | Arizona Internal Medicine Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3435 E. Kael St, Mesa, Arizona |
| Authorized Official Name and Position | Mashood Sajjad (PRESIDENT) |
| Authorized Official Contact | 4805865924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Internal Medicine Associates Llc 3435 E.kael St Mesa AZ 85213 Ph: (480) 586-5924 | Arizona Internal Medicine Associates Llc 3435 E. Kael St Mesa AZ 85213 Ph: (480) 586-5924 |
| NPI Number | 1619299286 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 07/12/2013 |
| Medicare PECOS PAC ID | 0446388581 |
|---|---|
| Medicare Enrollment ID | O20100510000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619299286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41978 (Arizona) | Primary |
| Provider Name | Mashood Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669693040 PECOS PAC ID: 3577699172 Enrollment ID: I20100408000227 |
| Provider Name | Richard E Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952617201 PECOS PAC ID: 5890979116 Enrollment ID: I20110412000417 |
| Provider Name | Madiha Zia Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902103138 PECOS PAC ID: 3072736768 Enrollment ID: I20140528000221 |
| Provider Name | Basha I Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942693098 PECOS PAC ID: 7911214341 Enrollment ID: I20150917002334 |
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