Individual
FADIA K HABIB-KHAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 N 44TH ST STE 103, PHOENIX, AZ 85018-2782
(602) 954-0405
(602) 954-0485
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-1934
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
22782
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007204
—
AZ
Enumeration date
08/19/2005
Last updated
04/05/2023
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