Individual
DR. HATIM S AL-JAROUSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26700
WV
207R00000X
Internal Medicine Physician
76367
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
26700
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
76367
AZ
207RP1001X
Pulmonary Disease Physician
26700
WV
207RP1001X
Pulmonary Disease Physician
Primary
76367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477874295
—
WV
01
—
WV6289A
MEDICARE PTAN
WV
Enumeration date
06/15/2010
Last updated
06/02/2025
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