Individual
ANAS MASHLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W THOMAS RD STE 900, PHOENIX, AZ 85013-4223
(602) 406-3540
Mailing address
500 W THOMAS RD STE 900, PHOENIX, AZ 85013-4223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R72520
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R72520
TRAINING PERMIT
AZ
Enumeration date
08/24/2011
Last updated
08/24/2011
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