Individual
FARID GHEBLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 N 54TH ST, PARADISE VALLEY, AZ 85253-2522
(602) 909-0909
(623) 535-0707
Mailing address
10645 N TATUM BLVD STE 200623, PHOENIX, AZ 85028-3068
(602) 909-0909
(602) 371-4960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15863
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
15863
AZ
207RP1001X
Pulmonary Disease Physician
Primary
15863
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273285
—
AZ
05
—
870261
—
AZ
Enumeration date
06/08/2006
Last updated
03/19/2021
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