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NPI Code Detail

MEDICARE: MOHAMED ABDELHABIB MD

MEDICARE: MOHAMED ABDELHABIB MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician65618AZ
2390200000XStudent in an Organized Health Care Education/Training Program
3207RP1001XPulmonary Disease Physician65618AZ

General Provider Information

NPI Number : 1184287161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ABDELHABIB MD
Provider Business Mailing Address
First Line : 5151 E BROADWAY RD STE 107
Second Line :
City : MESA
State : AZ
Zip : 85206-1346
Country : US
Telephone Number : 480-290-7000
Fax Number : 602-254-6840
Provider Business Practice Location Address
First Line : 1111 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2612
Country : US
Telephone Number : 602-839-2266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2019
Last Update Date : 03/17/2026

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