Provider Demographics
NPI:1619299286
Name:ARIZONA INTERNAL MEDICINE ASSOCIATES LLC
Entity Type:Organization
Organization Name:ARIZONA INTERNAL MEDICINE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MASHOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAJJAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-586-5924
Mailing Address - Street 1:3435 E.KAEL ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213
Mailing Address - Country:US
Mailing Address - Phone:480-586-5924
Mailing Address - Fax:480-320-4061
Practice Address - Street 1:3435 E. KAEL ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213
Practice Address - Country:US
Practice Address - Phone:480-586-5924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41978207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty