Basic Information
| Provider Information | |||||||||
| NPI: | 1588008890 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAIM | ||||||||
| FirstName: | ALAN | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 W CLARENDON AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850133422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6027760776 | ||||||||
| FaxNumber: | 6027050567 | ||||||||
| Practice Location | |||||||||
| Address1: | 333 W INDIAN SCHOOL RD | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850133205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6027769000 | ||||||||
| FaxNumber: | 6027769001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 54459 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | AN3232267556 | 01 | CA | AN3232267556 | OTHER |