SHAFEEQ S LADHA (NPI# 1417931767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417931767 |
| Entity Type | Individual |
| Full Name | SHAFEEQ S LADHA |
| Credential | M.D. |
| Practice Address |
240 W Thomas Rd Suite 400 Phoenix AZ 85013-4407 |
| Mailing Address |
File 56765 Los Angeles CA 90074-6765 |
| Practice Telephone | 6024066262 |
| Mailing Telephone | 6024063860 |
| Mailing Fax Number | 6024066132 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
30730 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
30730 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
30730 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 937906 | 05 | |
| AZ | TRIWEST | 86080015085259C457 | 01 |
| Street Address |
240 W THOMAS RD SUITE 400 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843222 | St. Joseph's Outpatient Surgery Center, LLC | Clinic/Center | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2005-07-07 |
| 1316474950 | Landa Fisher | Physical Therapist | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2017-05-14 |
| 1548629306 | Dignity Health | Rehabilitation Hospital | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2016-02-22 |
| 1831587807 | Lori Brickner | Physical Therapist | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2014-12-29 |
| 1760892400 | Michael Vincent Robers | Psychiatry & Neurology | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2014-05-03 |
| 1093154072 | Nicki Niemann | Psychiatry & Neurology | 240 W Thomas Rd, # 301, Phoenix, AZ 85013-8581 | 2013-06-23 |
| 1821378795 | Jina Maria Youn | Psychiatry & Neurology | 240 W Thomas Rd, Suite 403, Phoenix, AZ 85013-4407 | 2011-08-24 |
| 1316263411 | Naomi M. Salins | Psychiatry & Neurology | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2010-04-14 |
| 1215266077 | Thomas Scheub | Occupational Therapist | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2009-12-08 |
| 1235368747 | An Trieu Tran | Psychiatry & Neurology | 240 W Thomas Rd, Suite 301, Phoenix, AZ 85013-4407 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073834362 | Kathryn Elizabeth Bradley | Psychiatry & Neurology | 2450 E River Rd, Tucson, AZ 85718-6526 | 2010-06-21 |
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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.