MISBAH W. ALTAF MD NPI 1790917052

NPI Information

NPI: 1790917052
Provider Name: MISBAH W. ALTAF, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2204 S DOBSON RD STE 201
MESA, AZ
ZIP 85202
Phone: (602) 230-7373
Get Directions

Misbah W. Altaf, MD is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Misbah W. Altaf, MD NPI is 1790917052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2204 S DOBSON RD STE 201
MESA, AZ
ZIP 85202-457
Phone: (602) 230-7373
Fax: (480) 629-8574

The NPI 1790917052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2009 and was last updated on 12/6/2018.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	PT12461	NORTH DAKOTA	No
2	207Q00000X	Family Medicine	RL11228	NORTH DAKOTA	No
3	207Q00000X	Family Medicine	52163	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12083	MEDICAID	NORTH DAKOTA
2	210891	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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