Individual
DR. BASHA IMTIYAZ MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S PHELPS DR, APACHE JUNCTION, AZ 85120-6700
(480) 536-6850
(602) 834-1592
Mailing address
PO BOX 24981, BELFAST, ME 04915-2000
(480) 536-6850
(602) 834-1592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50273
AZ
207R00000X
Internal Medicine Physician
A134707
CA
208M00000X
Hospitalist Physician
50273
AZ
Other
Enumeration date
03/13/2015
Last updated
05/14/2026
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