SURA SHARQE ENDOCRINOLOGY, INC
Osteopathic Medicine in Glendale, AZ

License number
Arizona 28217
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: DR. MOMIN MOHAMED GABIR M.D.
Title: PRESIDENT
Phone: (623) 825-0237
Address
Address 2
6525 W. Sack Dr #204, Glendale, AZ 85308
72327 Sura Sharqe Endocrinology, Phoenix, AZ 85050
National Provider ID: 1497829659
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SURA SHARQE ENDOCRINOLOGY, INC

24110 N 24 Pl, Phoenix, AZ 85024

Status:
Inactive
Inactive reason:
Delinquent annual report
Registration:
Jun 14, 2004
Inactive since:
Jan 27, 2015
State ID:
-1134843-2
Expiration:
Perpetual
Vice-presidents:
Momin M H Gabir (President), 24110 N 24 Pl, Phoenix, AZ 85024 (Physical),Mona Y G Abusafe (Vice-president), 24110 N 24 Pl, Phoenix, AZ 85024 (Physical)
Agent:
Momi N M Gabir,24110 N 24 Pl, Phoenix, AZ 85024 (Physical)
6525 W Sack Dr #204, Glendale, AZ 85308 (Physical)
Business type:
Health Care

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