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NPI Code Detail

MEDICARE: NASSIM IDOURAINE

MEDICARE: NASSIM IDOURAINE
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 PhysicianR82674AZ

General Provider Information

NPI Number : 1770414021
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASSIM IDOURAINE
Provider Business Mailing Address
First Line : 7901 E 22ND ST
Second Line :
City : TUCSON
State : AZ
Zip : 85710-8509
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-694-8466
Provider Business Practice Location Address
First Line : 7901 E 22ND ST
Second Line :
City : TUCSON
State : AZ
Zip : 85710-8509
Country : US
Telephone Number : 520-694-8888
Fax Number : 520-694-8466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ NASSIM IDOURAINE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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