Ijaz Ahmed, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI 1346988037 · NPPES record last updated May 5, 2023

Key facts

NPI
1346988037
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
R79179 (AZ)
Practice address
9200 N Central Ave Ste 3
Phoenix, AZ 85020-2463
Phone
(602) 943-9494
Fax
(602) 944-3898
NPI assigned
May 24, 2022
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)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R79179 AZ Yes

Addresses

Primary practice location

9200 N Central Ave Ste 3
Phoenix, AZ 85020-2463

Mailing address

9200 N Central Ave Ste 3
Phoenix, AZ 85020-2463
Phone (602) 943-9494

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Student in an Organized Health Care Education/Training Program in Arizona

Sources for this page

Verify at the official NPI Registry.