Healthcare Provider Details

I. General information

NPI: 1659255313
Provider Name (Legal Business Name): NAZEER AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5499
US

IV. Provider business mailing address

5881 E MAYO BLVD
PHOENIX AZ
85054-4504
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax:
Mailing address:
  • Phone: 480-342-2000
  • Fax: 480-342-4180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License NumberR81489
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: