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Individual

DR. MAHMOOD KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2002 N STOCKTON HILL RD STE 104, KINGMAN, AZ 86401-4698
(928) 692-1010
(928) 692-7070
Mailing address
1720 E BEVERLY AVE STE B, KINGMAN, AZ 86409-3567
(928) 692-1010
(928) 692-7070

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
24503
AZ
207R00000X
Internal Medicine Physician
Primary
24503
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285953950
MEDICARE GROUP NPI
01
1336339175
NPPES
AZ
05
376691
AZ
Enumeration date
07/27/2007
Last updated
03/27/2018
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