Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 30355 | AZ |
NPI | 1235191727 |
---|---|
Provider Name | Mahmoud B Kabbani |
First Address | Scottsdale, AZ 85267-3150 |
Second Address | Phoenix, AZ 85032-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 22/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
708464 | (05) | AZ |
H94535 | (02) |