Healthcare Provider Details

I. General information

NPI: 1124337621
Provider Name (Legal Business Name): MARK FREIJAT M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MAJD ALFREIJAT MD

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7425 E SHEA BLVD STE 100
SCOTTSDALE AZ
85260-6411
US

IV. Provider business mailing address

9941 N. 95TH STREET SUITE E101
SCOTTSDALE AZ
85258-4609
US

V. Phone/Fax

Practice location:
  • Phone: 480-613-3569
  • Fax: 480-350-7872
Mailing address:
  • Phone: 480-613-3569
  • Fax: 480-350-7872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47624
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number01083564A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA144931
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number47624
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: