Provider Demographics
NPI:1750541462
Name:MOKBELPUR, MAY (MD)
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:
Last Name:MOKBELPUR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:CHINMAYEE
Other - Last Name:MOGHBELPOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3033 N CENTRAL AVE STE 145
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2808
Mailing Address - Country:US
Mailing Address - Phone:623-583-3001
Mailing Address - Fax:623-974-6721
Practice Address - Street 1:13471 W CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2713
Practice Address - Country:US
Practice Address - Phone:480-964-2273
Practice Address - Fax:623-213-8808
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT189733207R00000X
AZ67782207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ162383Medicaid