=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821189796
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVANCED NUCLEAR CARDIOLOGY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2006
-----------------------------------------------------
Last Update Date | 10/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1010 E MCDOWELL RD STE 300
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85006-2609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-251-3122
-----------------------------------------------------
Fax | 602-254-1226
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1010 E MCDOWELL RD. STE 300
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85006-2609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-251-3122
-----------------------------------------------------
Fax | 602-254-1226
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYS/OWNER PRESIDENT/CEO
-----------------------------------------------------
Name | DR. MZUHDI JASSER
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 602-251-3122
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207UN0901X
-----------------------------------------------------
Taxonomy Name | Nuclear Cardiology Physician
-----------------------------------------------------
License Number | 27073
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------