MEDICARE: ALOBAIDY NEUROLOGY CONSULTANTS PLLC

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
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1437772027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALOBAIDY NEUROLOGY CONSULTANTS PLLC

Provider Business Mailing Address
First Line	:	3719 E LOUISE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-8314
Country	:	US
Telephone Number	:	832-359-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	3719 E LOUISE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-8314
Country	:	US
Telephone Number	:	832-359-2280
Fax Number	:

Authorized Official
Title or Position	:	ATTENDING PHYSICIAN
Name	:	AMMAR ALOBAIDY
Credential	:	MD
Telephone Number	:	832-359-2280

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

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