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THE PEDIATRIC ENDOCRINE DIABETES CLINIC PC NPI 1265554612


NPI Information

NPI: 1265554612
Provider Name: THE PEDIATRIC ENDOCRINE DIABETES CLINIC PC
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
333 W THOMAS RD
SUITE 201
PHOENIX, AZ
ZIP 85013
Phone: (602) 692-7926
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THE PEDIATRIC ENDOCRINE DIABETES CLINIC PC is a pediatric endocrinology pediatrics in Phoenix, AZ. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. THE PEDIATRIC ENDOCRINE DIABETES CLINIC PC NPI is 1265554612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 W THOMAS RD
SUITE 201
PHOENIX, AZ
ZIP 85013-417
Phone: (602) 692-7926
Fax: (602) 266-9660

The provider's authorized official is Mahmoud B Kabbani .
The authorized official title is Pediatric Endocrine and has the following contact phone number (602) 692-7926.

The enumeration date for this NPI number is 4/5/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric Endocrinology30355ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11235191727OTHERINDIVIUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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