Organization Active NPI

Connective Med, LLC

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1801416011
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONNECTIVE MED, LLC
Practice address
1641 S Carriage LN
Chandler, AZ 85286-6711
Phone
(480) 570-2444
Fax
(480) 907-1125
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Hamed Abbaszadegan, MD
Title
Manager
Phone
(480) 570-2444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1641 S Carriage LN
Chandler, AZ 85286-6711

Mailing address

825 E Royal Palm Rd
Phoenix, AZ 85020-3749
Phone (480) 652-9952

Other names 1

  • Connective Med Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1801416011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E ROYAL PALM RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203749",
            "telephone_number": "480-652-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 S CARRIAGE LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866711",
            "telephone_number": "480-570-2444",
            "fax_number": "480-907-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIVE MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "ABBASZADEGAN",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-570-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connective Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.