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
Phone: (928) 445-6025
Fax: (928) 777-2423
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396853461 | NPPES |
Arizona | Other | 48512 | ARIZONA LICENSE |
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