Individual
AHMAD AL MARADNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E MCDOWELL RD, PHOENIX, AZ 85006-8500
(602) 839-2792
Mailing address
111 E MCDOWELL RD, BANNER UNIVERSITY MEDICAL CENTERPHOENIX LL2, PHOENIX, AZ 85006-1216
(602) 839-2792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272064
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
272064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588194112
—
AZ
05
—
1588194112
—
MA
Enumeration date
06/15/2017
Last updated
07/21/2022
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