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Individual

OMAR HOSSAM MOHAMEDALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
2015-01012
NC
207RP1001X
Pulmonary Disease Physician
Primary
77980
AZ
207RP1001X
Pulmonary Disease Physician
A113811
CA

Other

Enumeration date
05/21/2010
Last updated
09/17/2025
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