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AZMOBILEMD NPI 1689126971


NPI Information

NPI: 1689126971
Provider Name: AZMOBILEMD
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 03D2121095

Address:
6616 W GOLD MOUNTAIN PASS
PHOENIX, AZ
ZIP 85083
Phone: (623) 218-4171
Get Directions

AZMOBILEMD is a geriatric medicine internal medicine in Phoenix, AZ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. AZMOBILEMD NPI is 1689126971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6616 W GOLD MOUNTAIN PASS
PHOENIX, AZ
ZIP 85083-454
Phone: (623) 218-4171
Fax: (623) 321-1917

The provider's authorized official is Sam Ile .
The authorized official title is Owner and has the following contact phone number (623) 218-4171.

The CLIA number assigned to this NPI record is 03D2121095 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 1/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine42672ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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