Individual
DR. KHALID GAMAL ABOUL-NASR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711
(602) 685-5211
(602) 685-5325
Mailing address
1255 W WASHINGTON ST, TEMPE, AZ 85281-1210
(602) 685-5211
(602) 685-5325
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
53563
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
53563
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
458765
—
AZ
01
—
53563
ARIZONA MEDICAL LICENSE
AZ
Enumeration date
07/04/2013
Last updated
08/04/2020
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