Provider Demographics
NPI:1659308179
Name:NAQVI, TASNEEM ZEHRA (MD, MMM)
Entity Type:Individual
Prefix:DR
First Name:TASNEEM
Middle Name:ZEHRA
Last Name:NAQVI
Suffix:
Gender:F
Credentials:MD, MMM
Other - Prefix:
Other - First Name:TASNEEM
Other - Middle Name:Z
Other - Last Name:NAQVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13400 E SHEA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-5452
Mailing Address - Country:US
Mailing Address - Phone:480-301-8000
Mailing Address - Fax:
Practice Address - Street 1:13400 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-5452
Practice Address - Country:US
Practice Address - Phone:480-301-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51577174400000X
FLTPME4875207RC0000X
MN61329207RC0000X
AZ47259207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL793706Medicaid
AZZ157379Medicare PIN
FL793706Medicaid