MEDICARE: EMIL H ANNABI MD PC

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	208VP0000X	Pain Medicine Physician	37540	AZ
2	207L00000X	Anesthesiology Physician	37540	AZ

General Provider Information

NPI Number	:	1245635390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMIL H ANNABI MD PC

Provider Business Mailing Address
First Line	:	6226 E PIMA ST
Second Line	:	SUITE 3
City	:	TUCSON
State	:	AZ
Zip	:	85712-7002
Country	:	US
Telephone Number	:	520-399-6000
Fax Number	:	520-399-6002

Provider Business Practice Location Address
First Line	:	6226 E PIMA ST
Second Line	:	SUITE 3
City	:	TUCSON
State	:	AZ
Zip	:	85712-7002
Country	:	US
Telephone Number	:	520-399-6000
Fax Number	:	520-399-6002

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EMIL H ANNABI
Credential	:	MD
Telephone Number	:	520-399-6000

Provider Enumeration Date	:	10/31/2014
Last Update Date	:	02/15/2024

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