# SURA SHARQE ENDOCRINOLOGY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497829659
- **Authorized official:** DR. MOMIN MOHAMED GABIR M.D. (PRESIDENT)
- **Authorized official phone:** (623) 825-0237

## Contact information

- **Practice address:** 6525 W. SACK DRIVE, \#204, GLENDALE, AZ 85308
- **Practice address phone:** (623) 825-0237
- **Practice address fax:** (623) 825-0271
- **Mailing address:** PO BOX 72327, SURA SHARQE ENDOCRINOLOGY, INC, PHOENIX, AZ 85050-1023
- **Mailing address phone:** (623) 825-0237
- **Mailing address fax:** (480) 361-1503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 28217 | AZ | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 01/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 565054 | — | AZ |
| 05 | — | 56505401 | — | AZ |
