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NPI Code Detail

MEDICARE: MRS. MAHDIEH HAJI AMOU ASSAR MD

MEDICARE: MRS. MAHDIEH HAJI AMOU ASSAR 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
12085R0202XDiagnostic Radiology Physician036140693IL
22085R0202XDiagnostic Radiology Physician32124AZ

General Provider Information

NPI Number : 1518953926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAHDIEH HAJI AMOU ASSAR MD
Provider Business Mailing Address
First Line : 3301 E CLAREMONT ST
Second Line :
City : PARADISE VALLEY
State : AZ
Zip : 85253-3713
Country : US
Telephone Number : 602-954-0819
Fax Number : 602-271-5466
Provider Business Practice Location Address
First Line : 755 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2506
Country : US
Telephone Number : 602-271-5207
Fax Number : 602-271-5466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 07/09/2025

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