Individual
MAZEN KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 W ROSE GARDEN LN STE 110, PHOENIX, AZ 85027-3135
(623) 265-7215
(833) 465-1462
Mailing address
10839 E GOLD DUST AVE, SCOTTSDALE, AZ 85259-4842
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
42859
AZ
207RX0202X
Medical Oncology Physician
42859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561044
—
OH
05
—
529099
—
AZ
Enumeration date
03/08/2006
Last updated
09/11/2023
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