Individual
TASNIM KHALIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2303 N. 75TH AVE., PHOENIX, AZ 85035
(623) 849-7500
Mailing address
2302 N 75TH AVE, PHOENIX, AZ 85035-1216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49637
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940072
—
AZ
Enumeration date
07/06/2011
Last updated
10/06/2016
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