Individual
MUAZ M ABUDIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 W 7TH AVE, SUITE 450, SPOKANE, WA 99204-2349
(509) 455-8820
Mailing address
PO BOX 331, LIBERTY LAKE, WA 99019-0331
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52912
MN
207RC0000X
Cardiovascular Disease Physician
45796
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
MD60636000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764658
—
AZ
Enumeration date
07/22/2009
Last updated
04/09/2021
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