Specialty Pediatrics LT

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

34699 Issued in AZ

Legal business name

SPECIALTY PEDIATRICS LT

Practice address

2851 S Ave B
Ste B
Yuma, AZ 85364-7726

Phone

(928) 726-3009

Fax

(928) 726-3019

NPI assigned

May 1, 2010

Organization subpart

No

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

Authorized official

Name

Moinuddin H Mokhashi, M.D.

Title

Member

Phone

(928) 726-3009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272672000000",
    "number": "1467779355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S AVE B",
            "address_2": "STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-726-3009",
            "fax_number": "928-726-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVE B",
            "address_2": "STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-726-3009",
            "fax_number": "928-726-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PEDIATRICS LT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-01",
        "last_updated": "2010-05-01",
        "status": "A",
        "authorized_official_last_name": "MOKHASHI",
        "authorized_official_first_name": "MOINUDDIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-726-3009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "34699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.