Arizona Internal Medicine Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41978 Issued in AZ

Legal business name

ARIZONA INTERNAL MEDICINE ASSOCIATES LLC

Practice address

3435 E. Kael St
Mesa, AZ 85213

Phone

(480) 586-5924

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mashood Sajjad, MDNPI 1669693040

Title

President

Phone

(480) 586-5924

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mashood Sajjad, MD

  • Hospitalist Physician
  • Mesa, AZ
  • NPI 1669693040

  AZ

  Medicare reassignment Care Compare group Authorized official
• Madiha Zia Sajjad, MD

  • Hospitalist Physician
  • Mesa, AZ
  • NPI 1902103138

  AZ

  Medicare reassignment Care Compare group
• Shameela Durrani Farooqui, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1073655338

  AZ, Internal Medicine

  Medicare reassignment NPD
• Basha Imtiyaz Mohammed, MD

  • Internal Medicine Physician
  • Apache Junction, AZ
  • NPI 1942693098

  AZ, Internal Medicine

  Medicare reassignment NPD
• Richard Earl Wade, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1952617201

  AZ

  Medicare reassignment NPD
• Holly Marie Ferguson, P.A.-C

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1306063912

  AZ

  Medicare reassignment
• Oma Gama, PA-C

  • Physician Assistant
  • Greenville, NC
  • NPI 1609800739

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1619299286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 E.KAEL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-586-5924",
            "fax_number": "480-320-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 E. KAEL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-586-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTERNAL MEDICINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "SAJJAD",
        "authorized_official_first_name": "MASHOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-586-5924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "41978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mesa, AZ
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.