Individual
DR. MOHAMMAD IMTIAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 EAST BASELINE ROAD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-5019
Mailing address
2702 NORTH 3RD STREET, SUITE 4020, PHOENIX, AZ 85004-4608
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13260
AZ
207V00000X
Obstetrics & Gynecology Physician
A38013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380130
—
CA
05
—
20503
—
AZ
05
—
205303
—
AZ
Enumeration date
09/20/2006
Last updated
11/29/2011
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