Healthcare Provider Details
I. General information
NPI: 1841127271
Provider Name (Legal Business Name): SABIC FOOT ANKLE & LOWER LEG SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3555 S VAL VISTA DR
GILBERT AZ
85297-7323
US
IV. Provider business mailing address
3317 S HIGLEY RD STE 114-434
GILBERT AZ
85297-5436
US
V. Phone/Fax
- Phone: 480-269-7130
- Fax:
- Phone: 480-269-7130
- Fax: 480-571-9922
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALDIJAN
SABIC
Title or Position: MANAGING MEMBER
Credential:
Phone: 480-269-7130