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Individual

IMTIAZ AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2323 W ROSE GARDEN LN, PHOENIX, AZ 85027-2530
(602) 521-6200
(623) 842-5640
Mailing address
10835 N 25TH AVE, STE 240, PHOENIX, AZ 85029-3458
(602) 521-6200
(623) 842-5640

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35555
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326723
AZ
Enumeration date
10/19/2006
Last updated
05/01/2026
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