Individual
DR. MAHNAM KHIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
400 W. 16TH STREET, PUEBLO, CO 81003
(719) 584-4561
(719) 544-2741
Mailing address
1915 N GREENWOOD ST, PUEBLO, CO 81003
(719) 744-9669
(719) 544-2741
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
08/05/2024
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