Active NPI
Optimal Health by Dr Aneela
- Internal Medicine Physician
- Sedona, AZ
National Provider Identifier
1063921294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52508
- Legal business name
- OPTIMAL HEALTH BY DR ANEELA
- Practice address
- 2610 Whippet Way
Sedona, AZ 86336-5236 - Phone
- (240) 676-5824
- Fax
- (928) 554-1052
- NPI assigned
- Sep 20, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aneela Mahmud, MD
- Title
- Physician/Owner
- Phone
- (240) 676-5824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52508 | AZ | Primary |
Addresses
Primary practice location
2610 Whippet Way
Sedona, AZ 86336-5236
Mailing address
2610 Whippet Way
Sedona, AZ 86336-5236
Phone (240) 676-5824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145041 | Other | AZ | AHCCCS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1063921294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 WHIPPET WAY",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365236",
"telephone_number": "240-676-5824",
"fax_number": "928-554-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 WHIPPET WAY",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365236",
"telephone_number": "240-676-5824",
"fax_number": "928-554-1052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL HEALTH BY DR ANEELA",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MAHMUD",
"authorized_official_first_name": "ANEELA",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "240-676-5824",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "52508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "145041",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.