Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIM AMJADI MD
NPI 1417951765
Pediatrics in Phoenix, AZ

Q: What is Kim Amjadi's NPI number?

The NPI number for Kim Amjadi is 1417951765. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Kim Amjadi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Amjadi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2005

4137 N 108TH AVE, PHOENIX, AZ 85037(623) 877-7337(623) 772-0686 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kim Amjadi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM AMJADI MD (NPI 1417951765) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (31407) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1417951765

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKIM AMJADICredential: MD

Location Address4137 N 108TH AVEPhoenix, AZ 85037-5459

Mailing Address4137 N 108th AvePhoenix, AZ 85037-5459 · (623) 877-7337 · Fax (623) 772-0686

Phone(623) 877-7337

Fax(623) 772-0686

Sole ProprietorNo

Enumeration DateJune 1, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1417951765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 31407

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4137 N 108TH AVE, Phoenix, AZ 85037

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Other Identifiers 1

Medicaid861030AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEA COX

Nurse Practitioner (Pediatrics)