MEDICARE: ALI ABDELMONEM ALI 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	207Q00000X	Family Medicine Physician	35129867	OH

General Provider Information

NPI Number	:	1447679360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI ABDELMONEM ALI MD

Provider Business Mailing Address
First Line	:	7400 E THOMPSON PEAK PKWY
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4109
Country	:	US
Telephone Number	:	480-324-7231
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 E BETHANY HOME RD STE 120B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2496
Country	:	US
Telephone Number	:	602-674-6260
Fax Number	:

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

Provider Enumeration Date	:	04/08/2014
Last Update Date	:	05/08/2024

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