Active NPI
Mohave Pulmonary and Sleep Disorder Clinic, Inc
- Specialist
- Bullhead City, AZ
National Provider Identifier
1295880722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25051
- Legal business name
- MOHAVE PULMONARY AND SLEEP DISORDER CLINIC, INC
- Practice address
- 2771 Silver Creek Rd
Suite 105
Bullhead City, AZ 86442-7959 - Phone
- (928) 758-2002
- Fax
- (928) 758-1884
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maqbool Ahmed, M.D.
- Title
- Owner
- Phone
- (928) 758-2002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25051 | AZ | Primary |
Addresses
Primary practice location
2771 Silver Creek Rd
Suite 105
Bullhead City, AZ 86442-7959
Mailing address
PO Box 20245
Bullhead City, AZ 86439-0245
Phone (928) 758-2002
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0722040 | Other | AZ | BCBS PROVIDER ID |
| 421488 | Medicaid | AZ | |
| XPY202551 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2771 Silver Creek Rd
Ste 105
Bullhead City, AZ 86442
Phone (928) 758-2002
2771 Silver Creek Rd
#103
Bullhead City, AZ 86442
Phone (928) 758-2002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Rancho Cordova, CA
- NPI 1760502710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295880722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20245",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864390245",
"telephone_number": "928-758-2002",
"fax_number": "928-758-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 SILVER CREEK RD",
"address_2": "SUITE 105",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864427959",
"telephone_number": "928-758-2002",
"fax_number": "928-758-1884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAVE PULMONARY AND SLEEP DISORDER CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MAQBOOL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-758-2002",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "25051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "AZ0722040",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421488",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY202551",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.