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Individual

DR. HOSSAM ALHABACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 315-9820
Mailing address
PO BOX 64551, PHOENIX, AZ 85082-4551
(602) 315-9820

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
060111
CT
2084N0400X
Neurology Physician
Primary
33487
AZ
2084N0600X
Clinical Neurophysiology Physician
060111
CT
2084N0600X
Clinical Neurophysiology Physician
33487
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
942690
AZ
Enumeration date
04/14/2006
Last updated
05/05/2020
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