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NPI Code Detail

MEDICARE: NADER R. AJLUNI D.O.

MEDICARE: NADER R. AJLUNI D.O.
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
1208000000XPediatrics Physician02189IA
2208000000XPediatrics Physician006984AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33188OTHERIAMIDLANDS CHOICE

General Provider Information

NPI Number : 1649273228
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADER R. AJLUNI D.O.
Provider Business Mailing Address
First Line : 3033 N CENTRAL AVE STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2808
Country : US
Telephone Number : 623-583-3001
Fax Number : 623-974-6721
Provider Business Practice Location Address
First Line : 15351 W BELL RD
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-4580
Country : US
Telephone Number : 480-964-2273
Fax Number : 623-214-5214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 06/13/2023

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