Individual
EDOUARD MOUAIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4530 E MUIRWOOD DR, SUITE 105, PHOENIX, AZ 85048-7639
(480) 961-2303
(480) 961-0419
Mailing address
4530 E MUIRWOOD DR, SUITE 105, PHOENIX, AZ 85048-7639
(480) 961-2303
(480) 961-0419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23932
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400482
UNITED HEALTHCARE
AZ
01
—
1114601
CIGNA HEALTHCARE
AZ
05
—
381195
—
AZ
01
—
5579591
AETNA US HEALTHCARE
AZ
01
—
AY0705
HEALTH NET
AZ
01
—
AZ0808060
BCBS OF AZ
AZ
01
—
PIM13MOUAED1
MERCYCARE
AZ
Enumeration date
08/03/2005
Last updated
01/18/2008
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