BASHA IMTIYAZ MOHAMMED

GILBERT, AZ
NPI1942693098
Former NameABDUL MAHMAD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  50273)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  A134707)
208M00000X Hospitalist
(Licence: AZ  50273)
Enumeration Date2015-03-13
Last Update Date2024-11-27
Business Address
Dr. BASHA IMTIYAZ MOHAMMED MD
3555 S VAL VISTA DR
GILBERT, AZ 85297-7323
Phone number: 888-488-7640
Mailing Address
Dr. BASHA IMTIYAZ MOHAMMED MD
3100 W RAY RD STE 201
CHANDLER, AZ 85226-2472
Phone number: 888-488-7640