MEDICARE: DR. HIBA ABDEL AZIZ I MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD61445220	WA
2	208600000X	Surgery Physician	57.007748	OH
3	2086S0102X	Surgical Critical Care Physician	MD-53288	IA
4	2086S0102X	Surgical Critical Care Physician	57677	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	H020991	OTHER	OH	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104016336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIBA ABDEL AZIZ I MD

Provider Business Mailing Address
First Line	:	16601 N 40TH ST STE 227
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3354
Country	:	US
Telephone Number	:	602-633-3721
Fax Number	:	602-595-1127

Provider Business Practice Location Address
First Line	:	16601 N 40TH ST STE 227
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3354
Country	:	US
Telephone Number	:	602-633-3721
Fax Number	:	602-595-1127

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	11/23/2025

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Directions to “ DR. HIBA ABDEL AZIZ I MD” Practice Location

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