Healthcare Provider Details

I. General information

NPI: 1326993429
Provider Name (Legal Business Name): DHARI SAMI TAMIMI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DHARI MOHAMMAD

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 E CAMELBACK RD
PHOENIX AZ
85018-2718
US

IV. Provider business mailing address

2801 W DESERT DR
LAVEEN AZ
85339-1834
US

V. Phone/Fax

Practice location:
  • Phone: 602-229-2200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: