Amd Internal Medicine PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

48003 Issued in AZ

Legal business name

AMD INTERNAL MEDICINE PLLC

Practice address

395 N Silverbell Rd
Ste 107
Tucson, AZ 85745-2675

Phone

(612) 345-2888

NPI assigned

Apr 15, 2015

Last updated

Jul 7, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hassan Shafeeq, MDNPI 1154378164

Title

Director

Phone

(612) 345-2888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hassan Shafeeq, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1154378164
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1144616236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E PLACITA ARDILLA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857182910",
            "telephone_number": "612-345-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD",
            "address_2": "STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452675",
            "telephone_number": "612-345-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SHAFEEQ",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-345-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "48003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ambriz
• Olga T Ambriz, SLPA
• Frank Ambrose, LMSW
• Ambrosia Psychology, LLC
• Ambulatory Surgery Center of Tucson, Inc.
• Amedisys Hospice, LLC (Amedisys Hospice)
• Jameela Ameen, FNP
• Lora Leigh Amelunke, PT
• Peter C Amene, MD
• America's Best Contacts & Eyeglasses

• Primary Care Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.