Individual
DR. MAQBOOL ALAM HALEPOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 W EUGIE AVE STE 106, GLENDALE, AZ 85304-1256
(602) 978-6255
(602) 564-9286
Mailing address
5601 W EUGIE, STE 105, GLENDALE, AZ 85304
(602) 978-6255
(623) 478-1534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31459
AZ
207RX0202X
Medical Oncology Physician
Primary
31459
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
787426
—
AZ
Enumeration date
07/26/2006
Last updated
07/09/2017
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