Active NPI
Soofia Rubbani, MD
- Plastic Surgery Physician
- Tucson, AZ
National Provider Identifier
1699825885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 43494
- Practice address
- 1230 W Ina Rd
Tucson, AZ 85704-3156 - Phone
- (520) 389-8080
- Fax
- (520) 639-6531
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 43494 | AZ | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 43494 | AZ | |
| Plastic Surgery Physician | 208200000X | 43494 | AZ | Primary |
Addresses
Primary practice location
1230 W Ina Rd
Tucson, AZ 85704-3156
Mailing address
1230 W Ina Rd
Tucson, AZ 85704-3156
Phone (520) 389-8080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 726380 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43494 | AZ | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1699825885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043156",
"telephone_number": "520-389-8080",
"fax_number": "520-639-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 W INA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043156",
"telephone_number": "520-389-8080",
"fax_number": "520-639-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBBANI",
"first_name": "SOOFIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "43494",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "43494",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "43494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "726380",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.