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NPI Code Detail

MEDICARE: NOAH LEE AHMAD NAWABI

MEDICARE: NOAH LEE AHMAD NAWABI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramAZ

General Provider Information

NPI Number : 1346188307
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH LEE AHMAD NAWABI
Provider Business Mailing Address
First Line : 979 SEA GULL DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-4111
Country : US
Telephone Number : 864-978-0961
Fax Number :
Provider Business Practice Location Address
First Line : 2910 N 3RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4434
Country : US
Telephone Number : 844-324-6684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ NOAH LEE AHMAD NAWABI ” Practice Location

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