Individual
DR. RAED AL ADHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 85013-4409
(602) 406-3382
Mailing address
350 W THOMAS RD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 85013-4409
(602) 406-3382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R74071
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R74071
TRAINING PERMIT
AZ
Enumeration date
06/19/2013
Last updated
06/19/2013
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