Healthcare Provider Details

I. General information

NPI: 1790301547
Provider Name (Legal Business Name): PEAK MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 E UNION HILLS DR STE 100
PHOENIX AZ
85050-3387
US

IV. Provider business mailing address

4727 E UNION HILLS DR STE 100
PHOENIX AZ
85050-3387
US

V. Phone/Fax

Practice location:
  • Phone: 480-297-6108
  • Fax: 850-918-8048
Mailing address:
  • Phone: 480-676-2845
  • Fax: 850-918-8048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: OMAIR HASAN
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 480-676-2845