Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohamad Omar Lazkani, MD

Individual provider Internal Medicine Physician · NPI 1174843403

Mohamad Omar Lazkani, MD is a Cardiovascular Disease (Cardiology) in Phoenix, Arizona. Qualified in 2010, 16 years ago. Practices with Phoenix Heart PLLC, a 19-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona, Colorado, Minnesota and Wisconsin.

Years since qualifying
16
Licensed in
AZ, CO, MN, WI
In the registry since
2010
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 E McDowell Rd Internal Medicine LL2
Phoenix, AZ 85006-2612
Phone: (602) 839-2296
Fax: (602) 839-2084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 520 Rose Ln, Wickenburg, AZ 85390-1447 — (303) 390-1940
  • 1650 4th St Se, Rochester, MN 55904-4717 — (303) 390-1940
  • 1900 Sunrise Dr, Saint Peter, MN 56082-5376 — (303) 390-1940
  • 333 E 2nd St, Richland Center, WI 53581-1914 — (608) 647-6321

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence DR.0060650 (CO)
Internal Medicine Physician Taxonomy 207R00000X · Licence R72123 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 76409 (MN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence DR.0060650 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence R72123 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 4146 (WI)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence DR.0060650 (CO)

Record details

NPI number1174843403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2010
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Phoenix Heart Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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