Individual
DR. VIVEK KHEMKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3000
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
40642
AZ
207RX0202X
Medical Oncology Physician
40642
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356959
—
AZ
01
—
P00625102
RAILROAD MEDICARE
AZ
Enumeration date
10/24/2007
Last updated
04/14/2016
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