Provider Demographics
NPI:1447492418
Name:WAHBY, LINDA ANNE (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANNE
Last Name:WAHBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 E GOLDEN EAGLE CIR
Mailing Address - Street 2:
Mailing Address - City:GOLD CANYON
Mailing Address - State:AZ
Mailing Address - Zip Code:85218-1722
Mailing Address - Country:US
Mailing Address - Phone:480-983-2380
Mailing Address - Fax:
Practice Address - Street 1:7520 E GOLDEN EAGLE CIR
Practice Address - Street 2:
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85218-1722
Practice Address - Country:US
Practice Address - Phone:480-983-2380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41449207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine