Individual
DR. MOHAMMAD MUSHTAQ KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 W 24TH ST, SUITE #27, YUMA, AZ 85364-8366
(928) 344-9000
(928) 344-9002
Mailing address
1025 W 24TH ST, SUITE #27, YUMA, AZ 85364-8366
(928) 344-9000
(928) 344-9002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13786
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222860
AHCCCS
AZ
01
—
AZ0387310
BLUECROSS BLUESHIELD
AZ
Enumeration date
07/12/2006
Last updated
07/08/2007
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