Healthcare Provider Details

I. General information

NPI: 1245635390
Provider Name (Legal Business Name): EMIL H ANNABI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2014
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6226 E PIMA ST SUITE 3
TUCSON AZ
85712-7002
US

IV. Provider business mailing address

6226 E PIMA ST SUITE 3
TUCSON AZ
85712-7002
US

V. Phone/Fax

Practice location:
  • Phone: 520-399-6000
  • Fax: 520-399-6002
Mailing address:
  • Phone: 520-399-6000
  • Fax: 520-399-6002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number37540
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number37540
License Number StateAZ

VIII. Authorized Official

Name: DR. EMIL H ANNABI
Title or Position: PRESIDENT
Credential: MD
Phone: 520-399-6000