Hamed Abbaszadegan, MD
Individual provider Active NPI Internal Medicine Physician · Phoenix, AZ
NPI 1407083579 · NPPES record last updated Jun 16, 2009
Key facts
- NPI
- 1407083579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R71545 (AZ)
- Practice address
- 1111 E McDowell Rd
Phoenix, AZ 85006-2612 - Phone
- (602) 239-2296
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120816000077 | AZ | Practitioner - Internal Medicine | 8123274677 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R71545 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Room IV Therapy LLP | Internal Medicine | Current |
Accepting new patients |
| Sonoran Infusion Centers LLC | Current |
Accepting new patients | |
| Movement Redefined LLC | Past |
Accepting new patients |
Locations
5333 N 7th St
Ste B112
Phoenix, AZ 85014
Phone (480) 562-1974
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R71545 | AZ | Yes |
Addresses
Primary practice location
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Mailing address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 239-2296
Other providers in Phoenix, AZ
- Christine Abassi
- Abbacare Home Health Services, LLC
- Mohemmedd Khalid F Abbas
- Anam Abbasi
- Mohammad Abbasian
- Alyssa Renee Abbate
- Dorothy Nai Abbey
- Tammy L. Abbott-Thiel
- Allison Mary Abbott
- Brandon Harold Abbott
All providers in Phoenix, AZ · Internal Medicine 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 Jun 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.