Healthcare Provider Details

I. General information

NPI: 1063476018
Provider Name (Legal Business Name): WALID S ALAMI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9445 E IRONWOOD SQUARE DR 110
SCOTTSDALE AZ
85258-4574
US

IV. Provider business mailing address

9445 E IRONWOOD SQUARE DR 110
SCOTTSDALE AZ
85258-4574
US

V. Phone/Fax

Practice location:
  • Phone: 480-747-6532
  • Fax:
Mailing address:
  • Phone: 480-747-6532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number24767
License Number StateAZ

VIII. Authorized Official

Name: WALID S ALAMI
Title or Position: MANAGER
Credential: MD
Phone: 602-652-0040