Ideal Internal Medicine Solutions Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35244 Issued in AZ

Legal business name

IDEAL INTERNAL MEDICINE SOLUTIONS CORPORATION

Practice address

13035 W Vista Paseo Dr
Litchfield Park, AZ 85340-5572

Phone

(480) 235-1079

Fax

(623) 374-3579

NPI assigned

Feb 24, 2011

Organization subpart

No

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

Authorized official

Name

Muzakeer Ahmed Shaik, MD

Title

Ceo

Phone

(480) 235-1079

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1194022269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 W VISTA PASEO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405572",
            "telephone_number": "480-235-1079",
            "fax_number": "623-374-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 W VISTA PASEO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405572",
            "telephone_number": "480-235-1079",
            "fax_number": "623-374-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL INTERNAL MEDICINE SOLUTIONS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "SHAIK",
        "authorized_official_first_name": "MUZAKEER",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-235-1079",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z143418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.