Provider Demographics
NPI:1295997179
Name:ANNABI, EMIL H (MD)
Entity type:Individual
Prefix:
First Name:EMIL
Middle Name:H
Last Name:ANNABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4601 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3511
Mailing Address - Country:US
Mailing Address - Phone:520-399-6000
Mailing Address - Fax:520-399-6002
Practice Address - Street 1:6840 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2809
Practice Address - Country:US
Practice Address - Phone:520-399-6000
Practice Address - Fax:520-399-6002
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ37540207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00667987OtherRAILROAD MEDICARE
AZ345069Medicaid
AZZ122870Medicare PIN