Healthcare Provider Details

I. General information

NPI: 1700218609
Provider Name (Legal Business Name): RANA AOUFE P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 E BELL RD STE 170
PHOENIX AZ
85032-9385
US

IV. Provider business mailing address

4550 E BELL RD STE 170
PHOENIX AZ
85032-9385
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-6606
  • Fax: 480-443-8697
Mailing address:
  • Phone: 480-626-6606
  • Fax: 480-443-8697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number5437
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: