Active NPI
Shiraz H Ladha, M.D.
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1700062650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 16757
- Practice address
- 14001 N 7TH St
Building G, Suite 114
Phoenix, AZ 85022-4382 - Phone
- (602) 298-6930
- Fax
- (602) 298-6918
- NPI assigned
- Jan 10, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16757 | AZ | Primary |
Addresses
Primary practice location
14001 N 7TH St
Building G, Suite 114
Phoenix, AZ 85022-4382
Mailing address
14001 N 7TH St
Building G, Suite 114
Phoenix, AZ 85022-4382
Phone (602) 298-6930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282038 | Medicaid | AZ |
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 |
|---|---|---|---|
| 16757 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moon Valley Pediatrics PC | Past | Accepting new patients | |
| Scottsdale Pediatrics and Pediatric Nephrology, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1225015159
-
dba Agave Pediatrics
- Pediatrics Physician
- Phoenix, AZ
- NPI 1629076518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1700062650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 N 7TH ST",
"address_2": "BUILDING G, SUITE 114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224382",
"telephone_number": "602-298-6930",
"fax_number": "602-298-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 N 7TH ST",
"address_2": "BUILDING G, SUITE 114",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224382",
"telephone_number": "602-298-6930",
"fax_number": "602-298-6918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADHA",
"first_name": "SHIRAZ",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "16757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282038",
"state": "AZ"
}
],
"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 Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.