Individual
DR. IBRAHIM QAQISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 E THOMAS RD, SUITE 120, PHOENIX, AZ 85016
(602) 419-3378
(602) 595-1528
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40440
AZ
207RN0300X
Nephrology Physician
Primary
40440
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357551
—
AZ
Enumeration date
12/04/2007
Last updated
12/04/2023
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