Mehr Tahir Javed Ahmed, MD

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Phoenix, AZ

NPI 1245289883 · NPPES record last updated Feb 14, 2013

Key facts

NPI
1245289883
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
MD054905L (PA)
Practice address
650 E Indian School Rd
Dept of PM&RS (117).Phoenix VA Health Care System
Phoenix, AZ 85012-1839
Phone
(602) 277-5551
Fax
(602) 200-6024
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD054905LPAMDSpinal Cord Injury Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD054905L PA Yes
Spinal Cord Injury Medicine Physician 2081P0004X MD054905L PA

Addresses

Primary practice location

650 E Indian School Rd
Dept of PM&RS (117).Phoenix VA Health Care System
Phoenix, AZ 85012-1839

Mailing address

650 E Indian School Rd
Dept. of PMRS(117) .Phoenix VA Health Care System
Phoenix, AZ 85012-1839
Phone (480) 659-8292

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Physical Medicine & Rehabilitation Physician in Arizona

Sources for this page

Verify at the official NPI Registry.