MEDICARE: AIMSAZ LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	207R00000X	Internal Medicine Physician
3	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01074952A	OTHER	IN	INDIANA MEDICAL LICENSE

General Provider Information

NPI Number	:	1871115311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIMSAZ LLC

Provider Business Mailing Address
First Line	:	1346 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1346 E. MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2616
Country	:	US
Telephone Number	:	574-208-9114
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KASHIF AJAZ JANJUA
Credential	:	MD
Telephone Number	:	574-208-9114

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	12/09/2020

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Directions to “AIMSAZ LLC ” Practice Location

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