Healthcare Provider Details

I. General information

NPI: 1588368153
Provider Name (Legal Business Name): SAIF MICHEL YOUSEF SROUJI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 E THOMAS RD
PHOENIX AZ
85016-7711
US

IV. Provider business mailing address

1930 E THOMAS RD
PHOENIX AZ
85016-7711
US

V. Phone/Fax

Practice location:
  • Phone: 602-532-1000
  • Fax:
Mailing address:
  • Phone: 602-703-2447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number79442
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number79442
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: