| Dr Mohammad Imtiaz Ahmad, MD | |
| 635 East Baseline Road, Phoenix, AZ 85042-6551 | |
| (602) 243-7277 | |
| (602) 243-5019 | 
| Full Name | Dr Mohammad Imtiaz Ahmad | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology | 
| Location | 635 East Baseline Road, Phoenix, Arizona | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417055526 | NPI | - | NPPES | 
| 20503 | Medicaid | AZ | |
| 00A380130 | Medicaid | CA | |
| 205303 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A38013 (California) | Secondary | 
| 207V00000X | Obstetrics & Gynecology | 13260 (Arizona) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mohammad Imtiaz Ahmad, MD 2702 North 3rd Street, Suite 4020, Phoenix, AZ 85004-4608 Ph: (602) 323-3344 | Dr Mohammad Imtiaz Ahmad, MD 635 East Baseline Road, Phoenix, AZ 85042-6551 Ph: (602) 243-7277 | 
| Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
| Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619 | |
| Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065 | |
| Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
| Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
| Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766 | |
| Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823 |