Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 24764 | AZ |
NPI | 1003897869 |
---|---|
Provider Name | Walid S Alami |
First Address | Scottsdale, AZ 85258-4574 |
Second Address | Scottsdale, AZ 85258-4574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
376401 | (05) | AZ |
G14044 | (02) |