Healthcare Provider Details

I. General information

NPI: 1427466291
Provider Name (Legal Business Name): RASHA VICENTE DABBOUSI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 S DOBSON RD STE 200
CHANDLER AZ
85224-5679
US

IV. Provider business mailing address

725 S DOBSON RD STE 200
CHANDLER AZ
85224-5679
US

V. Phone/Fax

Practice location:
  • Phone: 480-899-7546
  • Fax: 480-899-7599
Mailing address:
  • Phone: 480-899-7546
  • Fax: 480-899-7599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number51698
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9913
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: