Individual
DR. ABDUL Q MEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5882 S HOSPITAL DR STE 1, GLOBE, AZ 85501
(928) 793-3747
(928) 793-3745
Mailing address
5882 S HOSPITAL DR STE 1, GLOBE, AZ 85501-9455
(928) 793-3747
(928) 793-3745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24282
AZ
207RC0000X
Cardiovascular Disease Physician
24282
AZ
207RI0011X
Interventional Cardiology Physician
Primary
24282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1340
HEALTHNET
AZ
01
—
362450
STATE AHCCCS
AZ
05
—
362450
—
AZ
01
—
36245001
MERCYCARE
AZ
01
—
6013273
CIGNA HEALTHCARE
AZ
01
—
7765048
AETNA HEALTHCARE
AZ
01
—
AZ0769860
BC/BS OF ARIZONA
AZ
Enumeration date
02/27/2006
Last updated
10/31/2018
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