Individual
HAFSA ABDIFATAH OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 E YEAGER DR, CHANDLER, AZ 85286-1598
(480) 699-5536
(480) 699-9283
Mailing address
2487 S GILBERT RD STE 106-486, GILBERT, AZ 85295-8899
(480) 699-5536
(480) 699-9283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
249068
—
AZ
Enumeration date
12/06/2024
Last updated
02/10/2026
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