Individual
FIZZAH AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2737 W BASELINE RD, TEMPE, AZ 85283-1051
(602) 437-4800
Mailing address
2737 W BASELINE RD, TEMPE, AZ 85283-1051
(602) 437-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
16464
NY
363AM0700X
Medical Physician Assistant
Primary
6034
AZ
Other
Enumeration date
03/09/2013
Last updated
03/14/2017
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