Basic Information
Provider Information
NPI: 1023538675
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PHILOBOS
FirstName: AMIR
MiddleName: MAHER ASSAAD
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 E CAMELBACK RD
Address2: STE 180
City: PHOENIX
State: AZ
PostalCode: 850182396
CountryCode: US
TelephoneNumber: 6027596883
FaxNumber: 6022243315
Practice Location
Address1: 3600 FORBES AVE STE 140
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152133410
CountryCode: US
TelephoneNumber: 4126476340
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/26/2017
LastUpdateDate: 08/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X67302AZY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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