Organization
ARIZONA PAIN AND SPINE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIM KHAN M.D. (MEMBER)
(312) 315-0024
Entity
Organization
Contact information
Practice address
2045 S VINEYARD, SUITE 131, MESA, AZ 85210-6889
(480) 986-7246
(480) 986-7252
Mailing address
PO BOX 3187, TEMPE, AZ 85280-3187
(480) 986-7246
(480) 986-7252
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
36668
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
36668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1369677-9
CORPORATION REGISTRATION
AZ
Enumeration date
07/19/2007
Last updated
07/21/2009
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