MEDICARE: DR. MOHAMMED HAFIZ M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	378727	AZ

General Provider Information

NPI Number	:	1184034852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED HAFIZ M.D

Provider Business Mailing Address
First Line	:	350 W THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-4409
Country	:	US
Telephone Number	:	602-406-3322
Fax Number	:	602-294-5090

Provider Business Practice Location Address
First Line	:	1111 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2612
Country	:	US
Telephone Number	:	602-839-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2014
Last Update Date	:	08/21/2018

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