Provider Demographics
NPI:1033515051
Name:MASAIH, EMAD (DVM)
Entity Type:Individual
Prefix:DR
First Name:EMAD
Middle Name:
Last Name:MASAIH
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 E LEO PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5215
Mailing Address - Country:US
Mailing Address - Phone:602-334-5478
Mailing Address - Fax:
Practice Address - Street 1:2208 E LEO PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-5215
Practice Address - Country:US
Practice Address - Phone:602-334-5478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6275174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian