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Organization
DESERT MERCY DIABETES AND THYROID CENTER PLLC
Active
Organization
DESERT MERCY DIABETES AND THYROID CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD AHMAD M.D. (OWNER/MEMBER)
(201) 693-1563
Entity
Organization
Contact information
Practice address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(201) 693-1563
(602) 840-1290
Mailing address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(201) 693-1563
(602) 840-1290
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-1688294-0
ARIZONA CORPORATION COMMISSION REGISTRATION
AZ
Enumeration date
06/22/2011
Last updated
06/22/2011
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