Individual
DR. MAHER MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2545 E THOMAS RD STE 120, PHOENIX, AZ 85016
(602) 419-3378
(602) 595-1528
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(026) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
32130
AZ
207RN0300X
Nephrology Physician
Primary
32130
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870312
—
AZ
Enumeration date
07/12/2005
Last updated
06/27/2018
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