NPI | 1013475326 |
---|---|
Entity Type | Organization |
Authorized Contact | MHD KUSSAY SAMKARI Owner/Provider 480-895-8734 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Additional Taxonomies | 207R00000X Internal Medicine |
207RG0300X Internal Medicine, Geriatric Medicine | |
Enumeration Date | 2019-03-05 |
Last Update Date | 2021-12-01 |