Banna, Moustafa
Banna, Moustafa is an individual health care provider with primary practice located at 13460 N 94Th Dr Ste J1 , Peoria AZ 85381-4246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Banna, Moustafa can be contacted via phone (623) 876-8816.Contact Information
Primary practice address
13460 N 94Th Dr Ste J1
Peoria AZ 85381-4246
Phone: (623) 876-8816
Fax: (623) 298-0168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 45263 | Arizona |
Profile Details
| NPI number | 1003009861 |
|---|---|
| LBN Legal business name | Banna, Moustafa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jan 11th, 2024 - about 8 months 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 | 1003009861 | NPPES |
| Arizona | MEDICAID | 040629 |
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