Healthcare Provider Details

I. General information

NPI: 1770103848
Provider Name (Legal Business Name): RAMY EL MANKABADY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2020
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 N 5TH ST
PHOENIX AZ
85020-2532
US

IV. Provider business mailing address

2500 W UTOPIA RD STE 100
PHOENIX AZ
85027-4172
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-4545
  • Fax: 602-870-6348
Mailing address:
  • Phone: 623-683-4462
  • Fax: 623-683-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number011701
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: