Individual
GAMAL F SIDAROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-4601
(602) 239-4271
Mailing address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-4601
(602) 239-4271
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
30595
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710930
—
AZ
Enumeration date
04/25/2006
Last updated
05/19/2008
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