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Mokhles Algubenny

Transportation Broker in Glendale, AZ. Individual provider (NPI-1).

NPI number1073418992
StatusActive
Last updated in NPPESOct 12, 2026

Details

NPI
1073418992
Entity type
Individual (NPI-1)
Name
Mokhles Algubenny
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 12, 2026
Certification date
Oct 11, 2026
Last updated
Oct 12, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347E00000X Transportation Broker215398AZYes

Practice location

17618 N 55th Dr
Glendale, AZ 85308-3811

Phone 602-762-7451

Mailing address

17618 N 55th Dr
Glendale, AZ 85308-3811

Phone 602-762-7451

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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