Individual
RAY R. MAHOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6036 N 19TH AVE, SUITE 402, PHOENIX, AZ 85015-2106
(602) 249-0115
(602) 246-7029
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(602) 249-0115
(602) 246-0837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23416
AZ
Other
Enumeration date
05/16/2006
Last updated
09/21/2016
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