Elwaleed Ali Ahmed, M.D

Individual provider Active NPI Infectious Disease Physician · Phoenix, AZ

NPI 1295937068 · NPPES record last updated Nov 8, 2011

Key facts

NPI
1295937068
Entity type
Individual (NPI type 1)
Primary specialty
Infectious Disease Physician 207RI0200X
License
42764 (AZ)
Practice address
3330 N 2ND St
Suite 300
Phoenix, AZ 85012-2368
Phone
(602) 274-7195
Fax
(602) 274-7097
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
42764AZMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Hospital and Medical Center Past
since Aug 30, 2020
Accepting new patients
Infectious Disease Center, P.C. Infectious Disease Past Accepting new patients
Sjhmc Physician Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 42764 AZ Yes

Addresses

Primary practice location

3330 N 2ND St
Suite 300
Phoenix, AZ 85012-2368

Mailing address

3330 N 2ND St
Suite 300
Phoenix, AZ 85012-2368
Phone (602) 261-7830

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Infectious Disease Physician in Arizona

Sources for this page

Verify at the official NPI Registry.