IJAZ ALI (NPI# 1588692479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588692479 |
| Entity Type | Individual |
| Full Name | IJAZ ALI |
| Credential | M.D. |
| Practice Address |
612 W Baseline Rd Mesa AZ 85210-6041 |
| Practice Telephone | 4808349039 |
| Practice Fax Number | 4809647802 |
| Mailing Telephone | 4808349039 |
| Mailing Fax Number | 4809647802 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
49294 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
200801118 | NC | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35087548 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
612 W BASELINE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344969 | Licel Tumpap | Nurse Practitioner | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2017-08-31 |
| 1336686187 | Valley Kidney Corp | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2017-01-31 |
| 1457796179 | Hayun Kim | Registered Nurse | 612 W Baseline Rd, Mesa, AZ 85210 | 2013-05-08 |
| 1831402429 | Roopashree Prabhushankar | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2010-07-23 |
| 1285946707 | Sandra Sue Gaiser | Specialist | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2010-07-13 |
| 1467779413 | Ramya Vejella | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2010-04-30 |
| 1497082432 | Manjunath Shivamanya Kottalgi | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2009-11-12 |
| 1154557866 | Ruchir Sureshbhai Patel | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2009-06-09 |
| 1114175312 | Prashant Kolar | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2008-09-03 |
| 1992981153 | Sridhar G Nair | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982670139 | Ameesh K Garg | Internal Medicine | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206 | 2006-02-27 |
| 1326034810 | Syed K Masood | Internal Medicine | 215 S Power Rd Ste 104, Mesa, AZ 85206-5236 | 2005-09-21 |
| 1043205511 | Kenneth R Boren | Internal Medicine | 4040 E Mclellan Rd Unit 11, Mesa, AZ 85205-3105 | 2005-09-12 |
| 1306830229 | Fredrick V Osorio | Internal Medicine | 301 S Power Rd Ste 103, Mesa, AZ 85206-5243 | 2005-09-07 |
| 1942293527 | Manuel Abrante | Internal Medicine | 301 S Power Rd, Suite 103, Mesa, AZ 85206-5241 | 2005-08-29 |
| 1336686187 | Valley Kidney Corp | Internal Medicine | 612 W Baseline Rd, Mesa, AZ 85210-6041 | 2017-01-31 |
| 1316481906 | Akdhc, LLC | Internal Medicine | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 | 2016-12-15 |
| 1548674062 | Akdhc, LLC | Internal Medicine | 1520 S Dobson Rd Ste 304, Mesa, AZ 85202-4727 | 2014-06-12 |
| 1033543749 | Akdhc, LLC | Internal Medicine | 10238 E Hampton Ave, Suite 504, Mesa, AZ 85209-3316 | 2013-08-29 |
| 1205274735 | Akdhc, LLC | Internal Medicine | 6638 E Baseline Rd, Suite 103, Mesa, AZ 85206-4432 | 2013-06-06 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.