Amjadi, Kim
Amjadi, Kim is an individual health care provider with primary practice located at 4137 N 108Th Ave , Phoenix AZ 85037-5459. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Amjadi, Kim can be contacted via phone (623) 877-7337.Contact Information
Primary practice address
4137 N 108Th Ave
Phoenix AZ 85037-5459
Phone: (623) 877-7337
Fax: (623) 772-0686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31407 | Arizona |
Profile Details
| NPI number | 1417951765 |
|---|---|
| LBN Legal business name | Amjadi, Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417951765 | NPPES |
| Arizona | MEDICAID | 861030 |
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