Active NPI
Laith Ghazala, M.D
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1689014094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R74031
- Practice address
- 1501 N Campbell Ave RM 6408
Tucson, AZ 85724-5040 - Phone
- (520) 626-2761
- Fax
- (520) 626-6020
- NPI assigned
- Jun 28, 2013
- Last updated
- Jun 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R74031 | AZ | Primary |
Addresses
Primary practice location
1501 N Campbell Ave RM 6408
Tucson, AZ 85724-5040
Mailing address
4601 N Via Entrada Apt 2087
Tucson, AZ 85718-5874
Phone (619) 504-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R74031 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients |
Interoperability endpoints
- lghazala141031@direct.metrohealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Metrohealth Medical Center
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1689014094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 N VIA ENTRADA APT 2087",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185874",
"telephone_number": "619-504-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N CAMPBELL AVE RM 6408",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857245040",
"telephone_number": "520-626-2761",
"fax_number": "520-626-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAZALA",
"first_name": "LAITH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R74031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.