Provider Demographics
NPI:1902103138
Name:SAJJAD, MADIHA ZIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MADIHA
Middle Name:ZIA
Last Name:SAJJAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MADIHA
Other - Middle Name:
Other - Last Name:ZIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9855 E SOUTHERN AVE UNIT 52648
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-5107
Mailing Address - Country:US
Mailing Address - Phone:480-586-5924
Mailing Address - Fax:480-320-4061
Practice Address - Street 1:6944 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-1916
Practice Address - Country:US
Practice Address - Phone:480-436-5194
Practice Address - Fax:480-436-5193
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR72441207R00000X
AZ48906208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine