Provider Demographics
NPI:1285402883
Name:NDFC-SCOTTSDALE PLLC
Entity type:Organization
Organization Name:NDFC-SCOTTSDALE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-940-3823
Mailing Address - Street 1:8901 E MOUNTAIN VIEW RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4424
Mailing Address - Country:US
Mailing Address - Phone:480-237-2043
Mailing Address - Fax:520-462-2292
Practice Address - Street 1:8901 E MOUNTAIN VIEW RD STE 201
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4424
Practice Address - Country:US
Practice Address - Phone:480-237-2043
Practice Address - Fax:520-462-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty