# DESERT MERCY DIABETES AND THYROID CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447546023
- **Authorized official:** SHAHZAD AHMAD M.D. (OWNER/MEMBER)
- **Authorized official phone:** (201) 693-1563

## Contact information

- **Practice address:** 4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
- **Practice address phone:** (201) 693-1563
- **Practice address fax:** (602) 840-1290
- **Mailing address:** 4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
- **Mailing address phone:** (201) 693-1563
- **Mailing address fax:** (602) 840-1290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | AZ | Yes |

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 06/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P-1688294-0 | ARIZONA CORPORATION COMMISSION REGISTRATION | AZ |