Individual
ADNAN AJMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD STE 900B, PHOENIX, AZ 85013-4224
(602) 406-3540
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301104590
MI
207R00000X
Internal Medicine Physician
50594
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4301104590
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
55957
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110091667A
—
MA
Enumeration date
07/11/2008
Last updated
07/19/2019
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