Healthcare Provider Details

I. General information

NPI: 1043176670
Provider Name (Legal Business Name): ABUAYMAN GROUP BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 E CLARENDON AVE UNIT 105
PHOENIX AZ
85016-7092
US

IV. Provider business mailing address

3111 E CLARENDON AVE UNIT 105
PHOENIX AZ
85016-7092
US

V. Phone/Fax

Practice location:
  • Phone: 602-299-9204
  • Fax:
Mailing address:
  • Phone: 602-299-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: WALEED ABDELRAHMAN
Title or Position: CEO
Credential:
Phone: 602-299-9204