Provider Demographics
NPI:1689679771
Name:ABDEL-RAHMAN, ANWAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:
Last Name:ABDEL-RAHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 E THOMAS RD
Mailing Address - Street 2:#124
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5844
Mailing Address - Country:US
Mailing Address - Phone:602-954-0444
Mailing Address - Fax:602-952-7146
Practice Address - Street 1:8111 E THOMAS RD
Practice Address - Street 2:#124
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5844
Practice Address - Country:US
Practice Address - Phone:602-954-0444
Practice Address - Fax:602-952-7146
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28403207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0744150OtherBCBSAZ
AZ522591Medicaid
AZP00064094OtherRAIL ROAD
AZ522591Medicaid
AZAZ0744150OtherBCBSAZ