Individual
MURTADA ELMAHDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2809 W GARDENIA AVE, PHOENIX, AZ 85051-7533
(602) 814-7483
Mailing address
2809 W GARDENIA AVE, PHOENIX, AZ 85051-7533
(602) 814-7483
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D04164109
—
AZ
Enumeration date
03/29/2022
Last updated
03/29/2022
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