Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29009 | AZ |
N | 2080P0210X | Pediatric Nephrologist | 042-0014922 | VT |
Y | 2080P0210X | Pediatric Nephrologist | 29009 | AZ |
NPI | 1477748259 |
---|---|
Provider Name | Dr. Ayah Yousif Elmaghrabi |
First Address | Mesa, AZ 85210-5289 |
Second Address | Mesa, AZ 85202-4707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 08/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
938235 | (05) | AZ |