Provider Demographics
NPI:1093034274
Name:ARIZONA INTENSIVIST INC
Entity Type:Organization
Organization Name:ARIZONA INTENSIVIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:M OSAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALNAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-767-1975
Mailing Address - Street 1:3491 S MERCY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-0433
Mailing Address - Country:US
Mailing Address - Phone:248-767-1975
Mailing Address - Fax:646-356-0095
Practice Address - Street 1:3491 S MERCY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-0433
Practice Address - Country:US
Practice Address - Phone:248-767-1975
Practice Address - Fax:646-356-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty