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Individual

ABEDELRAHIM ASFOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 W THOMAS RD STE 750&850, PHOENIX, AZ 85013-4224
(602) 406-1150
(602) 406-1159
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301067646
MI
207RI0011X
Interventional Cardiology Physician
4301067646
MI
207RI0011X
Interventional Cardiology Physician
72628
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0823404
BLUECARE NETWORK
MI
01
0Q26305007
BLUECROSSBLUESHIELD OF MI
MI
05
4748038
MI
Enumeration date
06/18/2006
Last updated
09/03/2025
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