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Individual

DR. MONA FOUAD ELSAKKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
350 W THOMAS RD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 85013-4409
(602) 406-3538
Mailing address
350 W. THOMAS LRD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 85013
(602) 406-3538

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
R71391
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0115
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R71391
TRAINING PERMIT
AZ
Enumeration date
02/17/2010
Last updated
05/02/2013
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