Individual
MOISES ILAN NEVAH RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5800
(602) 521-0239
Mailing address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5800
(602) 521-0239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64415
AZ
207R00000X
Internal Medicine Physician
N2683
TX
207RG0100X
Gastroenterology Physician
Primary
64415
AZ
207RG0100X
Gastroenterology Physician
N2683
TX
207RI0008X
Hepatology Physician
64415
AZ
207RI0008X
Hepatology Physician
N2683
TX
207RT0003X
Transplant Hepatology Physician
64415
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F6669
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/16/2007
Last updated
10/05/2021
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