Individual
DR. BASIL AL KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 E CLARENDON AVE STE 107, PHOENIX, AZ 85016-7069
(602) 664-8000
(602) 664-8001
Mailing address
3131 E CLARENDON AVE STE 107, PHOENIX, AZ 85016-7069
(602) 664-8000
(602) 664-8001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
30763
NY
207RI0011X
Interventional Cardiology Physician
Primary
50635
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128731
—
AZ
Enumeration date
06/19/2012
Last updated
02/11/2026
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