MEDICARE: BASIM ALZUBAIDI 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	207R00000X	Internal Medicine Physician	R81537	AZ

General Provider Information

NPI Number	:	1326923244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASIM ALZUBAIDI MD

Provider Business Mailing Address
First Line	:	5983 E GRANT RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2366
Country	:	US
Telephone Number	:	520-420-1966
Fax Number	:	866-733-1907

Provider Business Practice Location Address
First Line	:	5983 E GRANT RD STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2366
Country	:	US
Telephone Number	:	520-420-1966
Fax Number	:	866-733-1907

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

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	01/15/2026

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