Gamal F Sidarous
Nuclear Medicine Specialist
1111 E Mcdowell Rd
Phoenix
, Arizona 85006-2612
Gamal F Sidarous
Nuclear Medicine Specialist
1111 E Mcdowell Rd
Phoenix
, Arizona 85006-2612
(602) 239-4271
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Gamal F Sidarous
- 1111 E Mcdowell Rd
- Phoenix, AZ
- Zip : 85006-2612
- Fax : (602) 239-4271
- Phone : (602) 239-4601
Second Address
- Gamal F Sidarous
- 1111 E Mcdowell Rd
- Phoenix, AZ
- Zip : 85006-2612
- Fax : (602) 239-4271
- Phone : (602) 239-4601
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Is Gamal F Sidarous a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 30595 | AZ |
National Provider Identifier
| NPI | 1699731802 |
|---|---|
| Provider Name | Gamal F Sidarous |
| First Address | Phoenix, AZ 85006-2612 |
| Second Address | Phoenix, AZ 85006-2612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 19/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 710930 | (05) | AZ |
| H66089 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.