Individual
DR. JOSEPH KHATCHADOURIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(480) 719-6229
Mailing address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(480) 719-6229
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
42191
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z136590
MEDICARE PTAN
AZ
Enumeration date
05/04/2006
Last updated
04/17/2015
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