Provider Demographics
NPI:1407221286
Name:AZIZ, ARSHAD (PA-C)
Entity type:Individual
Prefix:
First Name:ARSHAD
Middle Name:
Last Name:AZIZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2201 W FAIRVIEW ST
Mailing Address - Street 2:STE 1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4712
Mailing Address - Country:US
Mailing Address - Phone:480-800-4890
Mailing Address - Fax:480-427-4766
Practice Address - Street 1:2401 W GLENDALE AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-7677
Practice Address - Country:US
Practice Address - Phone:602-772-5770
Practice Address - Fax:602-772-5771
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-05
Last Update Date:2022-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ6130363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical