Provider Demographics
NPI:1306047790
Name:ALSAHLANI, RAFAH SALIH (DO)
Entity type:Individual
Prefix:
First Name:RAFAH
Middle Name:SALIH
Last Name:ALSAHLANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8924 E PINNACLE PEAK RD
Mailing Address - Street 2:STE G5-407
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3618
Mailing Address - Country:US
Mailing Address - Phone:602-321-9322
Mailing Address - Fax:480-436-6366
Practice Address - Street 1:8924 E PINNACLE PEAK RD STE G5407
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3618
Practice Address - Country:US
Practice Address - Phone:623-396-6120
Practice Address - Fax:623-780-9150
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010167652084N0400X
AZ0054672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ544076Medicaid
AZZ162971Medicare PIN