Individual
EMAD F WISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 W THUNDERBIRD ROAD., THUNDERBIRD HOSPITAL, GLENDALE, AZ 85306
(602) 298-1932
(602) 862-1131
Mailing address
6635 W HAPPY VALLEY RD STE A104, GLENDALE, AZ 85310-2609
(480) 624-8080
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33025
AZ
207RP1001X
Pulmonary Disease Physician
Primary
33025
AZ
208M00000X
Hospitalist Physician
33025
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33025
AZ MD LIC
AZ
05
—
868325
—
AZ
Enumeration date
04/26/2006
Last updated
07/12/2023
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