Individual
DR. S ISMAIL AH BOKHARI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 E BEVERLY AVE, SUITE B, KINGMAN, AZ 86409-3567
(928) 757-1333
(928) 757-2367
Mailing address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 757-1333
(928) 757-2367
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11041
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206640
—
AZ
Enumeration date
04/13/2007
Last updated
08/04/2021
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