Individual
TIBA ALWARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3115 S PRICE RD, CHANDLER, AZ 85248-3544
(888) 488-7640
Mailing address
3100 W RAY RD STE 201, CHANDLER, AZ 85226-2472
(480) 926-0170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35132204
OH
207R00000X
Internal Medicine Physician
4301105179
MI
207R00000X
Internal Medicine Physician
Primary
69936
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302245
—
OH
Enumeration date
04/15/2014
Last updated
08/23/2023
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