Healthcare Provider Details

I. General information

NPI: 1114842663
Provider Name (Legal Business Name): ADONIS JABBOUR INFECTIOUS DISEASE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6644 E BAYWOOD AVE
MESA AZ
85206-1797
US

IV. Provider business mailing address

PO BOX 10936
TEMPE AZ
85284-0016
US

V. Phone/Fax

Practice location:
  • Phone: 714-223-0110
  • Fax: 714-223-0115
Mailing address:
  • Phone: 714-223-0110
  • Fax: 714-223-0115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA MAYS
Title or Position: CONTRACTING ADMIN
Credential:
Phone: 714-223-0110