Provider Demographics
NPI:1326017971
Name:GHAZI-ASKAR, MEHDI (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHDI
Middle Name:
Last Name:GHAZI-ASKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6142 E BROWN RD
Mailing Address - Street 2:102
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4962
Mailing Address - Country:US
Mailing Address - Phone:480-396-2087
Mailing Address - Fax:480-396-3973
Practice Address - Street 1:6142 E BROWN RD
Practice Address - Street 2:102
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4962
Practice Address - Country:US
Practice Address - Phone:480-396-2087
Practice Address - Fax:480-396-3973
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19065208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics