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Organization

INTERNAL MEDICINE SPECIALISTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAY MAHOUBI M.D. (PRESIDENT)
(602) 249-0115
Entity
Organization

Contact information

Practice address
6036 N 19TH AVE STE 402, PHOENIX, AZ 85015-2142
(602) 249-0115
(602) 249-0877
Mailing address
6036 N 19TH AVE STE 402, PHOENIX, AZ 85015-2142
(602) 249-0115
(602) 249-0877

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23416
AZ

Other

Enumeration date
09/07/2007
Last updated
09/07/2007
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