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NPI Code Detail

MEDICARE: IMRAN A ATA MD

MEDICARE: IMRAN A ATA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician24305AZ
2207RC0000XCardiovascular Disease Physician24305AZ

General Provider Information

NPI Number : 1366557563
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMRAN A ATA MD
Provider Business Mailing Address
First Line : 6320 N LA CHOLLA BLVD STE 300
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3552
Country : US
Telephone Number : 520-545-0953
Fax Number :
Provider Business Practice Location Address
First Line : 6320 N LA CHOLLA BLVD STE 300
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3552
Country : US
Telephone Number : 520-545-0953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 02/23/2026

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Directions to “ IMRAN A ATA MD” Practice Location

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