Individual
KOUROSH SEAN KHATAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(469) 226-1928
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(029) 331-8146
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60337
AZ
Other
Enumeration date
05/04/2017
Last updated
12/09/2020
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