Individual
NAZISH AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5601 W EUGIE AVE, GLENDALE, AZ 85304-1255
(602) 978-6255
Mailing address
9250 W THOMAS RD STE 150, PHOENIX, AZ 85037-3382
(623) 478-8091
(623) 478-1534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
AZ
207RX0202X
Medical Oncology Physician
Primary
006390
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918030
—
AZ
Enumeration date
07/01/2010
Last updated
08/23/2019
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