MEDICARE: AMMAR ALOBAIDY M.D.

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	2084N0400X	Neurology Physician	55339	AZ

General Provider Information

NPI Number	:	1437592102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMMAR ALOBAIDY M.D.

Provider Business Mailing Address
First Line	:	3719 E LOUISE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-8314
Country	:	US
Telephone Number	:	623-900-7822
Fax Number	:

Provider Business Practice Location Address
First Line	:	3719 E LOUISE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-8314
Country	:	US
Telephone Number	:	623-900-7822
Fax Number	:

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

Provider Enumeration Date	:	04/12/2013
Last Update Date	:	12/11/2021

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