Individual
TALAL MOUKABARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 E SPEEDWAY BLVD, TUCSON, AZ 85716-3917
(520) 833-5171
(520) 318-7107
Mailing address
445 N SILVERBELL RD, SUITE 201, TUCSON, AZ 85745-2685
(520) 396-1370
(520) 396-1375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42117
AZ
207RC0000X
Cardiovascular Disease Physician
42117
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
42117
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825848
—
AZ
Enumeration date
05/14/2007
Last updated
05/03/2017
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