Individual
ALI M MOSHARRAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4611 E SHEA BLVD, SUITE 230, PHOENIX, AZ 85028-4254
(602) 513-8166
(602) 265-6286
Mailing address
4611 E SHEA BLVD, SUITE 230, PHOENIX, AZ 85028-4254
(602) 513-8166
(602) 265-6286
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
24276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0800280
BCBS
AZ
Enumeration date
05/17/2006
Last updated
09/19/2012
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