Basic Information
| Provider Information | |||||||||
| NPI: | 1336596691 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAYEEM | ||||||||
| FirstName: | ATIKA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3115 S PRICE RD | ||||||||
| Address2: | |||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852483544 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8884887640 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 475 S DOBSON RD | ||||||||
| Address2: | |||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852245605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8884887640 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2016 | ||||||||
| LastUpdateDate: | 11/16/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 267620 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 58199 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.