The Pediatric Endocrine Diabetes Clinic PC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

30355 Issued in AZ

Legal business name

THE PEDIATRIC ENDOCRINE DIABETES CLINIC PC

Practice address

333 W Thomas Rd
Suite 201
Phoenix, AZ 85013-4417

Phone

(602) 692-7926

Fax

(602) 266-9660

NPI assigned

Apr 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mahmoud B Kabbani, MD

Title

Pediatric Endocrine

Phone

(602) 692-7926

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salaheddine Tomeh, MD

  • Vascular Surgery Physician
  • Peoria, AZ
  • NPI 1083646574
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265554612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134417",
            "telephone_number": "602-692-7926",
            "fax_number": "602-266-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD",
            "address_2": "SUITE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134417",
            "telephone_number": "602-692-7926",
            "fax_number": "602-266-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC ENDOCRINE DIABETES CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KABBANI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PEDIATRIC ENDOCRINE",
        "authorized_official_telephone_number": "602-692-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "AZ",
            "license": "30355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI",
            "identifier": "1235191727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Park on 7TH Avenue
• The Pelvic Docs, LLC
• The Pettis Group, LLC
• The Phoenix Birth Center
• The Phoenix Children's Center, LTD
• The Phoenix Children's Center, LTD

• Pediatric Endocrinology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Endocrinology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.