Provider Demographics
NPI:1740202613
Name:ADIB, NAZILA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZILA
Middle Name:
Last Name:ADIB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAZILA
Other - Middle Name:ADIB
Other - Last Name:CONZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 29643
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9643
Mailing Address - Country:US
Mailing Address - Phone:480-941-7500
Mailing Address - Fax:480-941-7567
Practice Address - Street 1:7575 E EARLL DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6915
Practice Address - Country:US
Practice Address - Phone:480-941-7500
Practice Address - Fax:480-941-7567
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ02132084P0800X
AZ309492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ923757Medicaid
AZ923757Medicaid