MEDICARE: KENAN ARKAWI PA-C

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	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1922250612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENAN ARKAWI PA-C

Provider Business Mailing Address
First Line	:	PO BOX 650886
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0886
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20940 N TATUM BLVD STE 200
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-7260
Country	:	US
Telephone Number	:	480-907-0546
Fax Number	:

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

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	05/15/2025

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