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NAZISH AHMAD D.O

>> Specialist >> Other Service Providers

Registrant NPI Number: 1609187921

Individual Registrant:
 NAZISH  AHMAD D.O
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5601 W EUGIE AVE  GLENDALE, AZ 85304-1255 US
Tel: 602-978-6255  Fax: --

Contact information for business:
9250 W THOMAS RD STE 150  PHOENIX, AZ 85037-3382 US
Tel: 623-478-8091  Fax: 623-478-1534

Registration Information:
NPI: 1609187921
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
AZ
Y207RX0202XAllopathic & Osteopathic Physicians
Internal Medicine
AZ006390

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
918030AZ05




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