Individual
AMMAD RAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-2000
Mailing address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008443
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2017
Last updated
09/07/2021
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