MEDICARE: CARDIOVASCULAR AND STEM CELL CONSULTANTS PC

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	174400000X	Specialist		AZ

General Provider Information

NPI Number	:	1952485260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR AND STEM CELL CONSULTANTS PC

Provider Business Mailing Address
First Line	:	PO BOX 32040
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85064-2040
Country	:	US
Telephone Number	:	602-327-0855
Fax Number	:

Provider Business Practice Location Address
First Line	:	7283 E EARLL DR
Second Line	:	BLD B
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7230
Country	:	US
Telephone Number	:	602-327-0855
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. NABIL DIB
Credential	:	MD
Telephone Number	:	602-604-5205

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/22/2020

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