Organization Active NPI

Optimal Health by Dr Aneela

  • Internal Medicine Physician
  • Sedona, AZ
National Provider Identifier
1063921294
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52508 Issued in AZ
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
145041OtherAZAHCCCS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.