Basic Information
Provider Information
NPI: 1609048578
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALZUBAIDI
FirstName: SADEER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5777 E MAYO BLVD
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850544502
CountryCode: US
TelephoneNumber: 4803421650
FaxNumber: 4803421606
Practice Location
Address1: 13400 E SHEA BLVD
Address2:  
City: SCOTTSDALE
State: AZ
PostalCode: 852595452
CountryCode: US
TelephoneNumber: 4803018000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/31/2008
LastUpdateDate: 09/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X4301091788MIN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0204X47550AZN Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
2085R0202X47550AZY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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