Healthcare Provider Details

I. General information

NPI: 1447844899
Provider Name (Legal Business Name): AHMED KHALIL ATTIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 12/07/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 E AJO WAY STE 200
TUCSON AZ
85713-6204
US

IV. Provider business mailing address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8000
  • Fax: 520-874-9001
Mailing address:
  • Phone: 520-626-4024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number73686
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: