Healthcare Provider Details

I. General information

NPI: 1801802418
Provider Name (Legal Business Name): NAGEATTE IBRAHIM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10510 N 92ND ST STE 200
SCOTTSDALE AZ
85258-4566
US

IV. Provider business mailing address

10510 N 92ND ST STE 200
SCOTTSDALE AZ
85258-4566
US

V. Phone/Fax

Practice location:
  • Phone: 480-323-1350
  • Fax:
Mailing address:
  • Phone: 480-323-1350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD450723
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number79335
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: