Organization
THE PEDIATRIC ENDOCRINE DIABETES CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD B KABBANI MD (PEDIATRIC ENDOCRINE)
(602) 692-7926
Entity
Organization
Contact information
Practice address
333 W THOMAS RD, SUITE 201, PHOENIX, AZ 85013-4417
(602) 692-7926
(602) 266-9660
Mailing address
333 W THOMAS RD, SUITE 201, PHOENIX, AZ 85013-4417
(602) 692-7926
(602) 266-9660
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
30355
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235191727
INDIVIUAL NPI
—
Enumeration date
04/05/2007
Last updated
08/22/2020
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