DR. MOHAMMAD IMTIAZ AHMAD (NPI# 1417055526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417055526 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD IMTIAZ AHMAD |
| Credential | M.D. |
| Practice Address |
635 East Baseline Road Phoenix AZ 85042-6551 |
| Mailing Address |
2702 North 3rd Street Suite 4020 Phoenix AZ 85004-4608 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6022435019 |
| Mailing Telephone | 6023233344 |
| Mailing Fax Number | 6023233496 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 13260 | AZ | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | A38013 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 20503 | 05 | |
| CA | 00A380130 | 05 | |
| AZ | 205303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831273036 | Mohammad Ahmad | Psychiatry & Neurology | 1902 Macy Drive, Atlanta Behavioral Medicine Inc, Roswell, GA 30076 | 2006-10-24 |
| 1174620223 | Mohammad Latif Ahmad | Pharmacist | 11957 S Apopka Vineland Road, Orlando, FL 32836 | 2006-09-20 |
| 1538122882 | Mohammad Ahmad | Family Medicine | 1455 Montcalm Rd, Columbus, OH 43221-3450 | 2006-04-08 |
| 1447711767 | Mohammad Fazle Ahmad | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2019-03-28 |
| 1003377938 | Mohammad Usman Ahmad | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm H3591, Stanford, CA 94305-2200 | 2019-03-25 |
| 1962934422 | Mohammad Ali Ahmad | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2017-04-03 |
| 1194139451 | Mohammad Ahmad | Internal Medicine | 100 E Carroll St, Salisbury, MD 21801-5493 | 2014-06-16 |
| 1144536673 | Mohammad Nayef Ahmad | Pharmacist | 1556 Lapalco Blvd, Harvey, LA 70058-3304 | 2010-08-22 |
| 1760669550 | Mohammad Masood Ahmad | Pharmacist | 5825 5th Ave, Brooklyn, NY 11220-3819 | 2008-01-24 |
| 1588862874 | Mohammad Farhan Ahmad | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06102-8000 | 2007-07-06 |
| Street Address |
635 EAST BASELINE ROAD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-6551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724732 | Christina L Shelley | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2005-07-15 |
| 1922376193 | Alexa Marie Diaz | Nutritionist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-12-02 |
| 1588949770 | Laverne Alfred-allen | Dental Hygienist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-10-19 |
| 1073891750 | Renee Thomas | Counselor | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2011-07-28 |
| 1851692594 | Ngoc Jade Hoang | Pharmacist | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-11-11 |
| 1699096115 | Tamara Neshae Sumler | Nurse Practitioner | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-06-18 |
| 1356668107 | Irma Herrera-olson | Dietitian, Registered | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2010-05-03 |
| 1689813032 | Marilyn Yelder | Nurse Practitioner | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2009-02-09 |
| 1891959896 | Karen Sheri Grayberg | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2008-07-18 |
| 1932363876 | Anitha Gaddam | Internal Medicine | 635 East Baseline Road, Phoenix, AZ 85042 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1659717924 | Kate E Maroney | Obstetrics & Gynecology | 1661 E Camelback Rd Ste 160, Phoenix, AZ 85016-3921 | 2013-05-14 |
| 1306281571 | Jeffrey Blake Higley | Obstetrics & Gynecology | 650 W Maryland Ave Ste 1, Phoenix, AZ 85013 | 2013-05-01 |
| 1033485511 | Sigrid Gardner Williams | Obstetrics & Gynecology | 4751 N 15th St, Phoenix, AZ 85014-3707 | 2012-03-28 |
| 1316263585 | Allison Amber Snyder | Obstetrics & Gynecology | 3811 E Bell Rd Ste 312, Phoenix, AZ 85032-2160 | 2010-04-13 |
| 1033348487 | Jill D Gibson | Obstetrics & Gynecology | 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014-5699 | 2009-07-07 |
| 1083841969 | Laura T Mercer | Obstetrics & Gynecology | 500 W Thomas Rd Ste 720730, Phoenix, AZ 85013-4224 | 2009-06-17 |
| 1770710097 | Adriana Lea Pritchard | Obstetrics & Gynecology | 1300 North 12th Street, Suite 407, Phoenix, AZ 85006 | 2009-06-12 |
| 1033392113 | Chijioke Nnenna Soribe | Obstetrics & Gynecology | 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 | 2007-12-11 |
| 1013190420 | Neil Trachtenberg, M.d.,p.c. | Obstetrics & Gynecology | 300 W Clarendon Ave Ste 145, Phoenix, AZ 85013-3449 | 2007-12-07 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.