DR. BASHAR KHANDAKER AHMED (NPI# 1548675663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548675663 |
| Entity Type | Individual |
| Full Name | DR. BASHAR KHANDAKER AHMED |
| Credential | M.D. |
| Practice Address |
18555 N 79th Ave Ste D101 Glendale AZ 85308 |
| Mailing Address |
18555 N 79th Ave Ste D101 Glendale AZ 85308-6040 |
| Practice Telephone | 4805636400 |
| Mailing Telephone | 4805636400 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
58125 | AZ | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A152947 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 N Campbell Ave, Tucson, AZ 857240001 | 5206262761 | 5206266020 |
| 4860 Y St Ste 3020, Sacramento, CA 958172307 | 9167346688 |
| Street Address |
18555 N 79TH AVE STE D101 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386290039 | Skeena Deen | Physician Assistant | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2019-08-16 |
| 1336621754 | Frank A Bartucci II | Physician Assistant | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2018-09-01 |
| 1932633286 | Jessica Ray | Nurse Practitioner | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2017-04-13 |
| 1124488317 | Kelli Sue Thompson | Nurse Practitioner | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2016-03-01 |
| 1568849990 | Brandon Ian Roth | Pain Medicine | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508101072 | Kht Care Plus Group Inc | Anesthesiology | 705 Ivy St, Glendale, CA 91204-1003 | 2012-12-10 |
| 1487782702 | Laszlo Z. Galffy, Md Inc | Anesthesiology | 1505 Wilson Ter Ste 170, Glendale, CA 91206-4074 | 2007-02-28 |
| 1619991643 | Michael Allen Castillo | Anesthesiology | 5310 W Thunderbird Rd Ste 215, Glendale, AZ 85306-4712 | 2006-07-26 |
| 1336552140 | Arizona Spine and Pain Specialists LLC | Anesthesiology | 7200 W Bell Rd, Ste F-101, Glendale, AZ 85308 | 2014-06-09 |
| 1265784532 | Lazik Der Sarkissian, Md A Professional Corporation | Anesthesiology | 540 N Central Ave, 205, Glendale, CA 91203-1916 | 2012-10-10 |
| 1508125709 | Craig Saran | Anesthesiology | 7200 W Bell Rd Ste F101, Glendale, AZ 85308-8535 | 2012-05-08 |
| 1245473677 | Mark C. Rothman, M.d., Inc. | Anesthesiology | 716 W Broadway, Glendale, CA 91204-1010 | 2009-04-15 |
| 1750562534 | Michael A Castillo Md PC | Anesthesiology | 5310 W Thunderbird Rd Ste 215, Glendale, AZ 85306-4712 | 2007-11-20 |
| 1801958608 | Harold Nathan Sheinkopf | Anesthesiology | 5406 W Glenn Dr, Suite # 6, Glendale, AZ 85301-2662 | 2006-12-15 |
| 1205850641 | Lazik Der Sarkissian | Anesthesiology | 540 N Central Ave, 205, Glendale, CA 91203-1916 | 2006-07-27 |
| Find all providers in GLENDALE | ||||
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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.