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	2086S0102X	Surgical Critical Care Physician	MD-53288	IA
2	208600000X	Surgery Physician	MD61445220	WA
3	2086S0102X	Surgical Critical Care Physician	MD2024-0561	NM
4	208600000X	Surgery Physician	57.007748	OH
5	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	:	9445 E GARY RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6117
Country	:	US
Telephone Number	:	602-775-9901
Fax Number	:

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	:	06/09/2026

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

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