Healthcare Provider Details
I. General information
NPI: 1851971493
Provider Name (Legal Business Name): SARAH ALNAQSHABANDI M.B.CH.B
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/08/2021
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
424 S 56TH ST STE 110
PHOENIX AZ
85034-2177
US
IV. Provider business mailing address
424 S 56TH ST STE 110
PHOENIX AZ
85034-2177
US
V. Phone/Fax
- Phone: 602-685-5211
- Fax: 480-581-4901
- Phone: 602-685-5211
- Fax: 480-581-4901
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZD0900X |
| Taxonomy | Dermatopathology (Pathology) Physician |
| License Number | 80078 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: