Individual provider · NPI-1

Fady Bodagh, MD

Hospitalist · Sun City, AZ

NPI number1467913269
StatusActive
Last updated in NPPESAug 10, 2022

Details

NPI
1467913269
Entity type
Individual (NPI-1)
Name
Fady Bodagh
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2019
Certification date
Jul 21, 2022
Last updated
Aug 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist66686AZYes
207R00000X Internal Medicine66686AZ

Practice location

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004

Phone 623-832-4728

Mailing address

1649 E Kelton Ln
Phoenix, AZ 85022-2815

Phone 623-326-5356

Other practice locations

18701 N 67th Ave
Glendale, AZ 85308-7100

Phone 623-561-1000

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