NPIMap

Organization Active NPI

Avicenna Integrative Medicine PLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1568944148
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AVICENNA INTEGRATIVE MEDICINE PLC
Practice address
4429 N 44TH St
Phoenix, AZ 85018
Phone
(248) 622-7376
NPI assigned
Aug 30, 2018
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Shireen Jindani, MD
Title
Owner
Phone
(248) 622-7376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4429 N 44TH St
Phoenix, AZ 85018

Mailing address

4138 E Becker LN
Phoenix, AZ 85028-3545

National Provider Directory

National Provider Directory

Locations

4429 N 44th St
Phoenix, AZ 85018
Phone (248) 622-7376

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1568944148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 E BECKER LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "248-622-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA INTEGRATIVE MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "JINDANI",
        "authorized_official_first_name": "SHIREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-622-7376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.