Organization Active NPI

Physicians Integrated Health Group LLC

  • Internal Medicine Physician
  • Lake Havasu City, AZ
National Provider Identifier
1215619671
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIANS INTEGRATED HEALTH GROUP LLC
Practice address
1940 Mesquite Ave Ste P-1
Lake Havasu City, AZ 86403-6123
Phone
(602) 706-4405
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Kareem Abdullah
Title
Ceo
Phone
(602) 706-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1940 Mesquite Ave Ste P-1
Lake Havasu City, AZ 86403-6123

Mailing address

301 W McDowell Rd
Phoenix, AZ 85003-1214

Other practice location 1

2733 E Lakin Dr Ste 3
Flagstaff, AZ 86004-3951
Phone (602) 706-4405

Other practice location 2

301 W McDowell Rd
Phoenix, AZ 85003-1214
Phone (602) 706-4405

Other practice location 3

616 S Beeline Hwy Ste 101
Payson, AZ 85541-5380
Phone (602) 706-4405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1215619671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 MESQUITE AVE STE P-1",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036123",
            "telephone_number": "602-706-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2733 E Lakin Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860043951",
            "country_code": "US",
            "telephone_number": "602-706-4405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850031214",
            "country_code": "US",
            "telephone_number": "602-706-4405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 S Beeline Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415380",
            "country_code": "US",
            "telephone_number": "602-706-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS INTEGRATED HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "KAREEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-706-4405"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.