Provider Demographics
NPI:1043448525
Name:ARIZONA HOSPITALISTS MD PC
Entity Type:Organization
Organization Name:ARIZONA HOSPITALISTS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHLAPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-230-1215
Mailing Address - Street 1:1080 E PECOS RD
Mailing Address - Street 2:18-439
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2426
Mailing Address - Country:US
Mailing Address - Phone:602-230-1215
Mailing Address - Fax:602-241-0249
Practice Address - Street 1:1080 E PECOS RD
Practice Address - Street 2:18-439
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2426
Practice Address - Country:US
Practice Address - Phone:602-230-1215
Practice Address - Fax:602-241-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH57445Medicare UPIN