| Alsham Medical Pllc | |
|
40 E Indianola Ave Phoenix AZ 85012-2019 | |
| (602) 741-5504 | |
| (480) 664-9666 |
| Full Name | Alsham Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 E Indianola Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Kussay Al Samkari (PRESIDENT) |
| Authorized Official Contact | 6027415504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alsham Medical Pllc Po Box 10741 Tempe AZ 85284-0013 Ph: (602) 741-5504 | Alsham Medical Pllc 40 E Indianola Ave Phoenix AZ 85012-2019 Ph: (602) 741-5504 |
| NPI Number | 1780815712 |
|---|---|
| Provider Enumeration Date | 08/08/2009 |
| Last Update Date | 09/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780815712 | NPI | - | NPPES |
| 450317 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34295 (Arizona) | Primary |
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