# ARIZONA ENDOCRINOLOGY & DIABETES CLINIC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Endocrinology & Diabetes Clinic Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346758653
- **Authorized official:** ABDULLAH HANNA-MOUSSA MD (OWNER)
- **Authorized official phone:** (623) 466-3890

## Contact information

- **Practice address:** 18301 N 79TH AVE STE C136, GLENDALE, AZ 85308-8471
- **Practice address phone:** (623) 466-3890
- **Mailing address:** 18301 N 79TH AVE STE C136, GLENDALE, AZ 85308-8471
- **Mailing address phone:** (623) 466-3890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 41644 | AZ | Yes |

## Other

- **Enumeration date:** 01/21/2018
- **Last updated:** 01/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 451541 | — | AZ |