Healthcare Provider Details

I. General information

NPI: 1285867424
Provider Name (Legal Business Name): AIDA MUSIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIDA HADZIAHMETOVIC MD

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 E THOMAS RD
PHOENIX AZ
85016-8034
US

IV. Provider business mailing address

4324 E. REDFIELD RD.
PHOENIX AZ
85032
US

V. Phone/Fax

Practice location:
  • Phone: 602-470-5000
  • Fax:
Mailing address:
  • Phone: 602-405-1623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number43595
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number43595
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: