Healthcare Provider Details

I. General information

NPI: 1114661022
Provider Name (Legal Business Name): NOOREDEEN JAMAL YOUNES ISBEIH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 E BANNER GATEWAY DR STE 450
GILBERT AZ
85234-2178
US

IV. Provider business mailing address

2940 E BANNER GATEWAY DR STE 450
GILBERT AZ
85234-2178
US

V. Phone/Fax

Practice location:
  • Phone: 480-543-3340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: