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General NPI Number Information
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NPI Number | 1639144850
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Entity Type | Individual
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Provider Name | EMAD G KALDAWI M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 16551 N 103RD WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8671
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Country | US
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Telephone | 602-467-4757
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Fax | 602-371-4960
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Provider Business Mailing Address
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Address Line | PO BOX 12580
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City | SCOTTSDALE
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State | AZ
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Zip | 85267-2580
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Country | US
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Telephone | 602-467-4757
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Fax | 602-371-4960
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 21238
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License Number State | AZ
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