Healthcare Provider Details

I. General information

NPI: 1497325468
Provider Name (Legal Business Name): NP2 ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 08/16/2021
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13555 W MCDOWELL RD STE 205
GOODYEAR AZ
85395-2626
US

IV. Provider business mailing address

13555 W MCDOWELL RD STE 205
GOODYEAR AZ
85395-2626
US

V. Phone/Fax

Practice location:
  • Phone: 623-295-1190
  • Fax: 602-429-8595
Mailing address:
  • Phone: 623-295-1190
  • Fax: 602-429-8595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD NASSER
Title or Position: OWNER
Credential: MD
Phone: 313-485-5680