Organization
IDEAL INTERNAL MEDICINE SOLUTIONS CORPORATION
Active
Organization
IDEAL INTERNAL MEDICINE SOLUTIONS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUZAKEER AHMED SHAIK MD (CEO)
(480) 235-1079
Entity
Organization
Contact information
Practice address
13035 W VISTA PASEO DR, LITCHFIELD PARK, AZ 85340-5572
(480) 235-1079
(623) 374-3579
Mailing address
13035 W VISTA PASEO DR, LITCHFIELD PARK, AZ 85340-5572
(480) 235-1079
(623) 374-3579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z143418
MEDICARE PTAN
AZ
Enumeration date
02/24/2011
Last updated
08/15/2011
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