Individual
NEZAR MUDHER FALLUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD STE 750&850, PHOENIX, AZ 85013-4224
(602) 406-1150
(602) 406-1159
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
75872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64116007
—
KY
Enumeration date
08/22/2006
Last updated
08/27/2025
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