Organization
AGILE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MHD KUSSAY SAMKARI (MD)
(602) 741-5504
Entity
Organization
Contact information
Practice address
6036 N 19TH AVE STE 502, PHOENIX, AZ 85015-2143
(623) 738-0193
Mailing address
6036 N 19TH AVE STE 502, PHOENIX, AZ 85015-2143
(623) 738-0193
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
08/07/2019
Last updated
09/12/2019
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