| Ideal Internal Medicine Solutions Corporation | |
|
13035 W Vista Paseo Dr Litchfield Park AZ 85340-5572 | |
| (480) 235-1079 | |
| (623) 374-3579 |
| Full Name | Ideal Internal Medicine Solutions Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 13035 W Vista Paseo Dr, Litchfield Park, Arizona |
| Authorized Official Name and Position | Muzakeer Ahmed Shaik (CEO) |
| Authorized Official Contact | 4802351079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Internal Medicine Solutions Corporation 13035 W Vista Paseo Dr Litchfield Park AZ 85340-5572 Ph: (480) 235-1079 | Ideal Internal Medicine Solutions Corporation 13035 W Vista Paseo Dr Litchfield Park AZ 85340-5572 Ph: (480) 235-1079 |
| NPI Number | 1194022269 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194022269 | NPI | - | NPPES |
| Z143418 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35244 (Arizona) | Primary |
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