Individual
MUSTAFA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BANNER DESERT MEDICAL CENTER, 1400 S DOBSON RD ATTN: AMANDA 1BMG, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Mailing address
BANNER DESERT MEDICAL CENTER, 1400 S DOBSON RD ATTN: AMANDA 1BMG, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53799
AZ
208M00000X
Hospitalist Physician
Primary
53799
AZ
208M00000X
Hospitalist Physician
MD60572904
WA
Other
Enumeration date
10/03/2012
Last updated
06/12/2022
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