Provider Demographics
NPI:1871960229
Name:ALHADI, FATIMA AZIZ (NMD)
Entity type:Individual
Prefix:
First Name:FATIMA
Middle Name:AZIZ
Last Name:ALHADI
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 E BROADWAY RD
Mailing Address - Street 2:2041
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1744
Mailing Address - Country:US
Mailing Address - Phone:330-883-0651
Mailing Address - Fax:
Practice Address - Street 1:600 E BASELINE RD
Practice Address - Street 2:B2
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1247
Practice Address - Country:US
Practice Address - Phone:480-568-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ141423175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath