Mustafa M Al-damha, MD | |
3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | |
(888) 488-7640 | |
(602) 783-1026 |
Full Name | Mustafa M Al-damha |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3100 W Ray Rd Ste 201, Chandler, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659993467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 67586 (Arizona) | Primary |
Entity Name | Pioneer Hospitalists, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033177316 PECOS PAC ID: 0941290290 Enrollment ID: O20040517001550 |
Entity Name | Allied Internal Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124408232 PECOS PAC ID: 7315251964 Enrollment ID: O20150917003141 |
Mailing Address | Practice Location Address |
---|---|
Mustafa M Al-damha, MD 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 Ph: (888) 488-7640 | Mustafa M Al-damha, MD 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 Ph: (888) 488-7640 |
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