Individual
GHAZWAN ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 E THOMAS RD STE 101, PHOENIX, AZ 85016-7766
(480) 470-0003
(480) 470-0004
Mailing address
PO BOX 4417, HOUSTON, TX 77210-4417
(480) 470-0003
(480) 470-0004
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
66208
AZ
208M00000X
Hospitalist Physician
S1392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149289
—
AZ
05
—
404555101
—
TX
Enumeration date
04/11/2015
Last updated
07/25/2022
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