Organization
ALSHAM MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSSAY AL SAMKARI MD (PRESIDENT)
(602) 741-5504
Entity
Organization
Contact information
Practice address
40 E INDIANOLA AVE, PHOENIX, AZ 85012-2019
(602) 741-5504
(480) 664-9666
Mailing address
PO BOX 10741, TEMPE, AZ 85284-0013
(602) 741-5504
(480) 664-9666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34295
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450317
—
AZ
Enumeration date
08/08/2009
Last updated
09/24/2010
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