Organization
SOUTH MOUNTAIN CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEEM HUSAIN MD (PROPRIETOR)
(602) 254-6640
Entity
Organization
Contact information
Practice address
303 E BASELINE RD, #105, PHOENIX, AZ 85042-6530
(602) 254-6640
(602) 254-6164
Mailing address
303 E BASELINE RD, #105, PHOENIX, AZ 85042-6530
(602) 254-6640
(602) 254-6164
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
42751
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484103
—
AZ
Enumeration date
06/07/2012
Last updated
08/01/2012
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