Healthcare Provider Details

I. General information

NPI: 1144924325
Provider Name (Legal Business Name): DIMA MOHAMMAD GHAZI ABU AFIFEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 N CAMPBELL AVE
TUCSON AZ
85719-1454
US

IV. Provider business mailing address

1980 W HOSPITAL DR STE 210
TUCSON AZ
85704-7804
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8888
  • Fax:
Mailing address:
  • Phone: 575-386-9110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberR80437
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: