Healthcare Provider Details
I. General information
NPI: 1184580953
Provider Name (Legal Business Name): SAMAR A JASSER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1010 E MCDOWELL RD STE 300
PHOENIX AZ
85006-2609
US
IV. Provider business mailing address
1010 E MCDOWELL RD STE 300
PHOENIX AZ
85006-2609
US
V. Phone/Fax
- Phone: 646-828-9098
- Fax: 602-254-1226
- Phone: 646-828-9098
- Fax: 602-254-1226
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SAMAR
A
JASSER
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 646-828-9098