Fayyaz Ahmad, M.D.
Individual provider Active NPI Psychiatry Physician · Tempe, AZ
NPI 1295741791 · NPPES record last updated Dec 2, 2016
Key facts
- NPI
- 1295741791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 33991 (AZ)
- Practice address
- 1642 S Priest Dr Ste 101
Tempe, AZ 85281-6204 - Phone
- (480) 929-5100
- Fax
- (480) 731-1066
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Prairie St Johns | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33991 | AZ | Yes |
Addresses
Primary practice location
1642 S Priest Dr Ste 101
Tempe, AZ 85281-6204
Mailing address
3003 N Central Ave
Suite 200
Phoenix, AZ 85012-2902
Phone (602) 685-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961129 | Medicaid | AZ |
Other providers in Tempe, AZ
- Marcus Anthony Aguallo
- Leah L Aguero
- Olivia Aguilera
- Ahim-Abo Mental Health Center
- Patricia Ann Ahler
- Fizzah Ahmed
- Hassan Ahmed
- Mohamed Gaafar Ahmed
- Zebunnessa Ahmed
- Farhat S Ahmedi
All providers in Tempe, AZ · Psychiatry Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.