# AIMS PHYSICIANS AND SURGEONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073699112
- **Authorized official:** AZAM S. KHAN (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (928) 757-3636

## Contact information

- **Practice address:** 3636 STOCKTON HILL ROAD, KINGMAN, AZ 86409
- **Practice address phone:** (928) 757-3636
- **Practice address fax:** (928) 757-3622
- **Mailing address:** 3636 NORTH STOCKTON HILL ROAD, KINGMAN, AZ 86409-0514
- **Mailing address phone:** (928) 757-3636
- **Mailing address fax:** (928) 757-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 06/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03D2044249 | CLIA NUMBER | AZ |
| 05 | — | 400817 | — | AZ |