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Individual

DR. KHALED HAMAWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
01049032A
IN
207RN0300X
Nephrology Physician
Primary
40623
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
380959
AZ
Enumeration date
04/16/2007
Last updated
12/05/2008
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