Moualla, Soundos K

Moualla, Soundos K is an individual health care provider with primary practice located at 802 Ainsworth Dr Ste A , Prescott AZ 86301-1623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Moualla, Soundos K can be contacted via phone (928) 445-6025.

Contact Information

Primary practice address
802 Ainsworth Dr Ste A Prescott AZ 86301-1623
Fax: (928) 777-2423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301093355 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 48512 Arizona

Profile Details

NPI number 1396853461
LBN Legal business name Moualla, Soundos K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396853461 NPPES
Arizona Other 48512 ARIZONA LICENSE

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