NPIMap

Organization Active NPI

Syed F Azam Medical Associates Inc

Doing business as Indus Medical Associates

  • Specialist
  • Rancho Mirage, CA
National Provider Identifier
1396749941
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SYED F AZAM MEDICAL ASSOCIATES INC
Doing business as
Indus Medical Associates
Practice address
35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772
Phone
(760) 202-0686
Fax
(760) 770-4563
NPI assigned
Jun 10, 2005
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Farzana Jabeen Qureshi, M.D.NPI 1790781334
Title
Doctor
Phone
(760) 202-0686

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)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772

Mailing address

35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772
Phone (760) 202-0686

Other practice location 1

791 Orchard Ave
Coachella, CA 92236-1730
Phone (760) 202-0686

Other names 1

  • INDUS MEDICAL ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000749 CA Part B Supplier - Clinic/Group Practice 8921907080 Receives reassigned benefits from 5 practitioners
Practice locations: Rancho Mirage, CA

National Provider Directory

National Provider Directory

Locations

161 W Ramsey St
Banning, CA 92220

35400 Bob Hope Dr
Ste 209
Rancho Mirage, CA 92270
Phone (760) 202-0686

35400 Bob Hope Dr
Ste 210
Rancho Mirage, CA 92270
Phone (760) 202-0686

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1396749941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 210",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 210",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Orchard Ave",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922361730",
            "country_code": "US",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYED F AZAM MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "FARZANA",
        "authorized_official_middle_name": "JABEEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "760-202-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDUS MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INDUS MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.