NPI 1174855480

Abdelgabar Mohamed Mohamdian

Practitioner General Practice Physician Glendale, AZ

Practice location

Address: 8528 N 43rd Dr, Glendale, AZ 85302-5302
Phone: (623) 217-1559

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 476336 (AZ)

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Registry record

NPI: 1174855480
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Feb 2010
Record last updated: 11 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.