Provider Demographics
NPI:1952485260
Name:CARDIOVASCULAR AND STEM CELL CONSULTANTS PC
Entity Type:Organization
Organization Name:CARDIOVASCULAR AND STEM CELL CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-604-5205
Mailing Address - Street 1:PO BOX 32040
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85064-2040
Mailing Address - Country:US
Mailing Address - Phone:602-327-0855
Mailing Address - Fax:
Practice Address - Street 1:7283 E EARLL DR
Practice Address - Street 2:BLD B
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7230
Practice Address - Country:US
Practice Address - Phone:602-327-0855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty