Provider Demographics
NPI:1972784866
Name:JASSER, M ZUHDI (MD)
Entity Type:Individual
Prefix:
First Name:M
Middle Name:ZUHDI
Last Name:JASSER
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 1:1010 E MCDOWELL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2609
Mailing Address - Country:US
Mailing Address - Phone:602-251-3122
Mailing Address - Fax:602-254-1226
Practice Address - Street 1:1010 E MCDOWELL RD STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2609
Practice Address - Country:US
Practice Address - Phone:602-251-3122
Practice Address - Fax:602-254-1226
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ106661Medicare PIN
AZZ85374Medicare PIN
AZG87195Medicare UPIN