# NEWAEON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Neurodiagnostic Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518491539
- **Authorized official:** ISLAM ABUJUBARA MD (OWNER)
- **Authorized official phone:** (623) 209-1488

## Contact information

- **Practice address:** 111 E DUNLAP AVE, SUITE 1-621, PHOENIX, AZ 85020-2807
- **Practice address phone:** (623) 209-1488
- **Practice address fax:** (602) 633-3673
- **Mailing address:** 111 E DUNLAP AVE, SUITE 1-621, PHOENIX, AZ 85020-2807
- **Mailing address phone:** (623) 209-1488
- **Mailing address fax:** (602) 633-3673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 04/17/2017
- **Last updated:** 04/17/2017