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Organization
SURA SHARQE ENDOCRINOLOGY, INC
Active
Organization
SURA SHARQE ENDOCRINOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOMIN MOHAMED GABIR M.D. (PRESIDENT)
(623) 825-0237
Entity
Organization
Contact information
Practice address
6525 W. SACK DRIVE, #204, GLENDALE, AZ 85308
(623) 825-0237
(623) 825-0271
Mailing address
PO BOX 72327, SURA SHARQE ENDOCRINOLOGY, INC, PHOENIX, AZ 85050-1023
(623) 825-0237
(480) 361-1503
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
28217
AZ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
565054
—
AZ
05
—
56505401
—
AZ
Enumeration date
11/20/2006
Last updated
01/26/2009
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