Individual provider · NPI-1

Mohamad H Alaeddine

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Phoenix, AZ

NPI number1689951238
StatusActive
Last updated in NPPESNov 27, 2024

Details

NPI
1689951238
Entity type
Individual (NPI-1)
Name
Mohamad H Alaeddine
Sex
Male
Sole proprietor
No
Enumeration date
Nov 10, 2011
Certification date
Nov 27, 2024
Last updated
Nov 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)56082AZYes

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone 602-933-1000

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Phone 602-933-3124

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