Mohamed, Abdifatah
Mohamed, Abdifatah is an individual health care provider with primary practice located at 4040 E Mcdowell Rd Ste 313 , Phoenix AZ 85008-4447. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Mohamed, Abdifatah can be contacted via phone (602) 575-0512.Contact Information
Primary practice address
4040 E Mcdowell Rd Ste 313
Phoenix AZ 85008-4447
Phone: (602) 575-0512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1730670001 |
|---|---|
| LBN Legal business name | Mohamed, Abdifatah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2018 |
| Last updated | May 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730670001 | NPPES |
| Arizona | Other | 492438 | AHCCCS |
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