Healthcare Provider Details

I. General information

NPI: 1174939623
Provider Name (Legal Business Name): JAWAD BILAL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2014
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S HOUGHTON RD STE 270
TUCSON AZ
85748-0047
US

IV. Provider business mailing address

2300 S HOUGHTON RD STE 270
TUCSON AZ
85748-0047
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-4800
  • Fax: 480-443-8697
Mailing address:
  • Phone: 480-443-4800
  • Fax: 480-443-8697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number54852
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: