Shadi Samer Al-Deir, MD
Individual provider Active NPI Internal Medicine Physician · Sierra Vista, AZ
NPI 1962332080 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1962332080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R82323 (AZ)
- Practice address
- 5700 E Hwy 90
Sierra Vista, AZ 85635 - Phone
- (520) 263-3190
- Fax
- (520) 844-4953
- NPI assigned
- May 20, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R82323 | AZ | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R82323 | AZ | Yes |
Addresses
Primary practice location
5700 E Hwy 90
Sierra Vista, AZ 85635
Mailing address
5700 E Hwy 90
Sierra Vista, AZ 85635
Phone (520) 263-3190
Other providers in Sierra Vista, AZ
- Akdhc, LLC
- Akdhc, LLC
- Rahil Akhtar
- Yahya Munaf Salim Al Attraqchi
- Layla Al Safadi Abou Al Fadel
- Hussam Fuad Eid Al-Jawaldeh
- Alan P Kawakami DDS PC
- Dana J Albalate
- Regina Lenette Allen
- Alliance Healthcare Services Inc
All providers in Sierra Vista, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.