Healthcare Provider Details

I. General information

NPI: 1568185288
Provider Name (Legal Business Name): FATMAH SAEED ALZAHRANI MD, DABD, FRCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E THOMAS RD
PHOENIX AZ
85016-7710
US

IV. Provider business mailing address

1919 E THOMAS RD DEPARTMENT OF PEDIATRIC DERMATOLOGY
PHOENIX AZ
85016
US

V. Phone/Fax

Practice location:
  • Phone: 602-933-5241
  • Fax:
Mailing address:
  • Phone: 602-933-5241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberDR.0067740
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: